Sherri Gilliard
Individual provider Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Waller, TX
NPI 1306265160 · NPPES record last updated Apr 9, 2014
Key facts
- NPI
- 1306265160
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Practice address
- 16107 FM 362 Rd
Waller, TX 77484-9369 - Phone
- (936) 524-7757
- Fax
- (281) 251-0577
- NPI assigned
- Apr 9, 2014
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
16107 FM 362 Rd
Waller, TX 77484-9369
Mailing address
PO Box 2146
Prairie View, TX 77446-2146
Phone (936) 524-7757
Other providers in Waller, TX
- Fields Pharmacy ,LLC
- Michael Dennis Fitzpatrick
- FM 362 Family Dental PLLC
- Lionel Joseph Fourrier Jr.
- Freedomchoice Family Clinic
- Great Leaps Behavior Center PLLC
- Guti Express Rehab LLC
- Jason Gutsch
- Kathleen A Hafner
- Karen Renee Hall-Holcombe
All providers in Waller, TX · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2014. 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.