Sheryl Renee Handlin, OM
Individual provider Active NPI Specialist · Diana, TX
NPI 1275848442 · NPPES record last updated Aug 12, 2010
Key facts
- NPI
- 1275848442
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 10091 (TX)
- Practice address
- 14461 FM 450 N
Diana, TX 75640-4813 - Phone
- (903) 241-0061
- NPI assigned
- Aug 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10091 | TX | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 10091 | TX | Yes |
Addresses
Primary practice location
14461 FM 450 N
Diana, TX 75640-4813
Mailing address
14461 FM 450 N.
Diana, TX 75640-4813
Phone (903) 241-0061
Other providers in Diana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.