Healthcare Provider Details

I. General information

NPI: 1205182581
Provider Name (Legal Business Name): SHERENE E URALIL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2012
Last Update Date: 09/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9700 BISSONNET ST SUITE 1000W
HOUSTON TX
77036-8001
US

IV. Provider business mailing address

9700 BISSONNET ST SUITE 1000W
HOUSTON TX
77036-8001
US

V. Phone/Fax

Practice location:
  • Phone: 832-828-1005
  • Fax: 832-825-9462
Mailing address:
  • Phone: 832-828-1005
  • Fax: 832-825-9462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberBP10031681
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: