Healthcare Provider Details

I. General information

NPI: 1841696846
Provider Name (Legal Business Name): SHERMAN MD PROVIDER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2014
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N HIGHLAND AVE
SHERMAN TX
75092-7354
US

IV. Provider business mailing address

1908 N LAURENT ST STE 330
VICTORIA TX
77901-5467
US

V. Phone/Fax

Practice location:
  • Phone: 903-870-4611
  • Fax:
Mailing address:
  • Phone: 361-572-0333
  • Fax: 361-572-8518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL J SARRAO
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 361-572-0333