Provider Demographics
NPI:1154381259
Name:BARCLAY, SHERRI STONE (MD)
Entity type:Individual
Prefix:DR
First Name:SHERRI
Middle Name:STONE
Last Name:BARCLAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHERRI
Other - Middle Name:STONE
Other - Last Name:DRAYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1317 N. HILLCREST
Mailing Address - Street 2:
Mailing Address - City:SULPHUR SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75482
Mailing Address - Country:US
Mailing Address - Phone:903-438-1110
Mailing Address - Fax:903-438-1107
Practice Address - Street 1:1317 N. HILLCREST
Practice Address - Street 2:
Practice Address - City:SULPHUR SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75482
Practice Address - Country:US
Practice Address - Phone:903-438-1110
Practice Address - Fax:903-438-1107
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7145208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092439103Medicaid
TX75-2950731OtherTAX I.D
TX092439103Medicaid
TX150000102Medicaid
TX75-2950731OtherTAX I.D