Healthcare Provider Details

I. General information

NPI: 1104819432
Provider Name (Legal Business Name): ALLAN M SHERMAN DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 08/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6310 LBJ FWY SUITE 117
DALLAS TX
75240-6401
US

IV. Provider business mailing address

6310 LBJ FWY SUITE 117
DALLAS TX
75240-6401
US

V. Phone/Fax

Practice location:
  • Phone: 972-233-4351
  • Fax: 972-233-0359
Mailing address:
  • Phone: 972-233-4351
  • Fax: 972-233-0359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number513
License Number StateTX

VIII. Authorized Official

Name: MR. ALLAN M SHERMAN
Title or Position: PODIATRIST
Credential: PODIATRIST
Phone: 972-233-4351