Healthcare Provider Details

I. General information

NPI: 1811481146
Provider Name (Legal Business Name): SHERRILL JOAN ELIZABETH ROSE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2018
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 W 38TH ST STE 705
AUSTIN TX
78705-1016
US

IV. Provider business mailing address

1601 TRINITY ST STOP Z0200
AUSTIN TX
78712-1850
US

V. Phone/Fax

Practice location:
  • Phone: 210-334-1229
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberV4738
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: