Healthcare Provider Details

I. General information

NPI: 1932160835
Provider Name (Legal Business Name): SHERRI LAMARR GILLHAM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHERRI LAMARR HUDDLESTON MD

II. Dates (important events)

Enumeration Date: 03/30/2006
Last Update Date: 05/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2008 W OHIO
MIDLAND TX
79701
US

IV. Provider business mailing address

PO BOX 8146
TYLER TX
75711-8146
US

V. Phone/Fax

Practice location:
  • Phone: 432-683-3206
  • Fax: 432-683-2616
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberH4349
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: