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Sharla Shead
Family Nurse Practitioner in Kilgore, Texas
NPI 1285036582

Sharla Shead is a Family Nurse Practitioner based in Dallas, TX and is specialized in Family. Sharla Shead practices in Kilgore, TX. The NPI Number for Sharla Shead is 1285036582 and holds a License No. AP126470 (Texas).

The current practice location address for Sharla Shead is 1718 S Henderson Blvd, Kilgore, TX and can be reached out via phone at 903-983-2110.

Location: 1718 S Henderson Blvd, Kilgore, TX, 75284-6098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285036582
Provider Name
Sharla Shead
Credential
Provider Entity Type
Individual
Gender
Female
Address
1718 S Henderson Blvd, Kilgore, TX, 75284-6098
Phone Number
903-983-2110
Fax Number
Provider Enumeration Date
09/18/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8075MD 01 TX BCBS
75-2616977-017 01 TX TRICARE
340024402 05 TX
institution
Provider Business Practice Location Address Details
Address
1718 S Henderson Blvd
City
Kilgore
State
Texas
Zip
75662-3544
Phone Number
903-983-2110
Fax Number
person
Provider Business Mailing Address Details
Address
1718 S Henderson Blvd
City
Kilgore
State
Texas
Zip
75662-3544
Phone Number
903-983-2110
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP126470 (Texas)
Definition
Definition to come...
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