=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346229135
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SHARMAE R KRAY P.A.-C.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/11/2006
-----------------------------------------------------
Last Update Date | 04/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1002 ABC AVE STE 600
-----------------------------------------------------
City | FREEPORT
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77541-3889
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 979-491-2756
-----------------------------------------------------
Fax | 979-233-4365
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11511 SHADOW CREEK PKWY
-----------------------------------------------------
City | PEARLAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77584-7298
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-442-0000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363A00000X
-----------------------------------------------------
Taxonomy Name | Physician Assistant
-----------------------------------------------------
License Number | PA0076
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------