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General NPI Number Information
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NPI Number | 1841696846
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Entity Type | Organization
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Legal Business Name | SHERMAN MD PROVIDER INC
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Dates
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Enumeration Date | 11/18/2014
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 500 N HIGHLAND AVE
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City | SHERMAN
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State | TX
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Zip | 75092-7354
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Country | US
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Telephone | 903-870-4611
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Fax |
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Provider Business Mailing Address
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Address Line | 1908 N LAURENT ST STE 330
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City | VICTORIA
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State | TX
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Zip | 77901-5467
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Country | US
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Telephone | 361-572-0333
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Fax | 361-572-8518
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | MICHAEL J SARRAO
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Credential |
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Telephone | 361-572-0333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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