Doctor Name: | DR. DAVID PAUL SHERIDAN |
NPI Number: | 1023331360 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | L3820 |
Business Practice Address: | 20214 Braidwood Dr Ste 215 Katy, TX - 774502140 |
Business Phone Number: | 2815793600 |
Business Fax Number: | |
Mailing Address: | 20214 Braidwood Dr Ste 215, KATY |
State: | TX |
Postal Code: | 774502140 |
Phone Number: | 2815793600 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2010 |
NPI Last Update Date: | 03/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | L3820 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |