Provider Demographics
NPI:1306507041
Name:WILKINS, SHARON
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:WILKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5729 MAGNOLIA ESTATES CT
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-6611
Mailing Address - Country:US
Mailing Address - Phone:469-328-9073
Mailing Address - Fax:
Practice Address - Street 1:5729 MAGNOLIA ESTATES CT
Practice Address - Street 2:
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-6611
Practice Address - Country:US
Practice Address - Phone:469-328-9073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-05
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
146D00000X, 332B00000X
TX146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant