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Contact Information

BERT E. SHARP, D.P.M., P.A.
613 N 4TH ST
LONGVIEW, TX75601-6616
 Phone: 903-757-2300
 Fax: 903-758-0279
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BERT E. SHARP, D.P.M., P.A.

NPI Number 1750504403
LBN Legal business name BERT E. SHARP, D.P.M., P.A.
Authorized official BERT SHARP - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2007
Last updated 02/09/2010 - About 16 years ago
Identifiers
TX License # 1032
TX Medicaid 092750101
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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