Sheldon Allan Mirow, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G0776 Issued in TX

Practice address

2825 Belt Line Rd
Suite 103
Garland, TX 75044-7011

Phone

(972) 530-5550

Fax

(972) 530-3632

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568537124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10019 WOODLAKE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435027",
            "telephone_number": "972-644-8257",
            "fax_number": "972-644-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 BELT LINE RD",
            "address_2": "SUITE 103",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750447011",
            "telephone_number": "972-530-5550",
            "fax_number": "972-530-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIROW",
        "first_name": "SHELDON",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "G0776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Garland, TX
• Providers in Garland, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.