Healthcare Provider Details

I. General information

NPI: 1801741467
Provider Name (Legal Business Name): SHARMAZIN STUDIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 HEATHER TRL APT 1105
ARLINGTON TX
76011-3759
US

IV. Provider business mailing address

622 HEATHER TRL APT 1105
ARLINGTON TX
76011-3759
US

V. Phone/Fax

Practice location:
  • Phone: 214-397-7002
  • Fax:
Mailing address:
  • Phone: 214-397-7002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: ANTHONETTA ELLISON
Title or Position: CRANIAL PROTHESIS SPECIALIST
Credential:
Phone: 214-397-7002