Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 513 | TX |
Y | 222Z00000X | Podiatrist | 513 | TX |
NPI | 1003084872 |
---|---|
Provider Name | Allan M Sherman |
First Address | Dallas, TX 75230-1864 |
Second Address | Dallas, TX 75230-1864 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2008 |
Last Update Date | 14/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T15877 | (02) | TX |