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NPI Code Detail

MEDICARE: SHARON J. MARTIN HOLM M.D.

MEDICARE: SHARON J. MARTIN HOLM M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianK8657TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275538035
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON J. MARTIN HOLM M.D.
Provider Business Mailing Address
First Line : PO BOX 731912
Second Line :
City : DALLAS
State : TX
Zip : 75373-1912
Country : US
Telephone Number : 903-877-7777
Fax Number :
Provider Business Practice Location Address
First Line : 11937 US HIGHWAY 271
Second Line :
City : TYLER
State : TX
Zip : 75708-3154
Country : US
Telephone Number : 903-877-7777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 04/24/2018

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