Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 30145 | TX |
Y | 213EG0000X | General Practice | 30145 | TX |
NPI | 1003217852 |
---|---|
Provider Name | Salimah Shariff |
First Address | Sugar Land, TX 77479-3826 |
Second Address | Pasadena, TX 77502-1001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2014 |
Last Update Date | 12/12/2014 |