Cassidy, Sharon Sue
Cassidy, Sharon Sue is an individual health care provider with primary practice located at 700 Walter Reed Blvd Suite 203, Garland TX 75042-3701. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Cassidy, Sharon Sue can be contacted via phone (972) 494-1446.Contact Information
Primary practice address
700 Walter Reed Blvd Suite 203
Garland TX 75042-3701
Phone: (972) 494-1446
Fax: (972) 276-5476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | D9387 | Texas |
Profile Details
| NPI number | 1124069166 |
|---|---|
| LBN Legal business name | Cassidy, Sharon Sue |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Dec 15th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124069166 | NPPES |
| Texas | Other | 8M2953 | BCBS |
| Texas | MEDICAID | 114016206 | BCBS |
| Texas | MEDICAID | 114016204 | BCBS |
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