Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | L6177 | TX |
NPI | 1013910546 |
---|---|
Provider Name | M Alan Sharif |
First Address | Lubbock, TX 79416-3025 |
Second Address | Lubbock, TX 79416-3025 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2005 |
Last Update Date | 08/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G13259 | (02) | TX |