Provider Demographics
NPI:1285727339
Name:HARRIS, SHARYN KAY (PA)
Entity type:Individual
Prefix:
First Name:SHARYN
Middle Name:KAY
Last Name:HARRIS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1908 N LAURENT ST
Mailing Address - Street 2:STE 370
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5468
Mailing Address - Country:US
Mailing Address - Phone:361-572-0333
Mailing Address - Fax:361-572-8518
Practice Address - Street 1:14100 RANCH ROAD 12
Practice Address - Street 2:STE 900
Practice Address - City:WIMBERLEY
Practice Address - State:TX
Practice Address - Zip Code:78676-5354
Practice Address - Country:US
Practice Address - Phone:512-847-0300
Practice Address - Fax:512-847-0200
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2012-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA00262363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX868N76OtherBLUE CROSS
TX868N76OtherBLUE CROSS