Doctor Name: | SHARYN KAY HARRIS |
NPI Number: | 1285727339 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. |
License Number: | PA00262 |
Business Practice Address: | 14100 Ranch Road 12 Ste 900 Wimberley, TX - 786765354 |
Business Phone Number: | 5128470300 |
Business Fax Number: | 5128470200 |
Mailing Address: | 1908 N Laurent St, Ste 370 VICTORIA |
State: | TX |
Postal Code: | 779015468 |
Phone Number: | 3615720333 |
Fax Number: | 3615728518 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 09/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA00262 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |