=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346333960
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SHARI F. KIRSH, DPM PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/02/2006
-----------------------------------------------------
Last Update Date | 09/03/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1036 N CIRCLE DR
-----------------------------------------------------
City | SEALY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77474-3336
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 979-885-7827
-----------------------------------------------------
Fax | 713-721-3993
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9635 HILLCROFT ST
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77096-3805
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-721-2993
-----------------------------------------------------
Fax | 713-721-3993
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | SHARI FRANCINE KIRSH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 713-721-2993
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number | 1138
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------