=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801741467
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SHARMAZIN STUDIO
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/28/2026
-----------------------------------------------------
Last Update Date | 02/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 622 HEATHER TRL APT 1105
-----------------------------------------------------
City | ARLINGTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76011-3759
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-397-7002
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 622 HEATHER TRL APT 1105
-----------------------------------------------------
City | ARLINGTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76011-3759
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-397-7002
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CERTIFIED CRANIEL PROTHESIS SPECIAL
-----------------------------------------------------
Name | ANTHONETTA ELLISON
-----------------------------------------------------
Credential | CPS/L.S.
-----------------------------------------------------
Telephone | 214-397-7002
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 335E00000X
-----------------------------------------------------
Taxonomy Name | Prosthetic/Orthotic Supplier
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------