Sharon Wallace MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K0394 Issued in TX

Legal business name

SHARON WALLACE MD PA

Practice address

4 Professional Park Dr
Webster, TX 77598-4127

Phone

(281) 316-1000

Fax

(281) 316-0110

NPI assigned

Sep 29, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sharon Renee Wallace, MD

Title

Owner

Phone

(281) 316-1000

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1407165137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57487",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775987487",
            "telephone_number": "281-316-1000",
            "fax_number": "281-316-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PROFESSIONAL PARK DR",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984127",
            "telephone_number": "281-316-1000",
            "fax_number": "281-316-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON WALLACE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-316-1000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K0394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jinesh Shah, M.D.
• Rakesh Shah, M.D.
• Sonia Shahid, MD
• Mohamed L Shalaby, M.D.
• Hanna Shanar
• Mia Allegra Sharp
• Madison Shaw
• Annah Elizabeth Sheffield
• Tyler Shoemaker
• Shooting Star Inpatient Services PLLC

• Family Medicine Physician in Webster, TX
• Providers in Webster, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.