Healthcare Provider Details

I. General information

NPI: 1003783267
Provider Name (Legal Business Name): SHARON PHILIP MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 TRANSMOUNTAIN RD STE B
EL PASO TX
79911-3602
US

IV. Provider business mailing address

2000 TRANSMOUNTAIN RD STE B
EL PASO TX
79911-3602
US

V. Phone/Fax

Practice location:
  • Phone: 915-215-5730
  • Fax:
Mailing address:
  • Phone: 718-709-0940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberP130040
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberBP10099336
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: