Provider Demographics
NPI:1316347784
Name:SHARMA, MUNISH (DPT)
Entity type:Individual
Prefix:
First Name:MUNISH
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4921 S HUMMER LN
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-3114
Mailing Address - Country:US
Mailing Address - Phone:956-929-8465
Mailing Address - Fax:
Practice Address - Street 1:4921 S HUMMER LN
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-3114
Practice Address - Country:US
Practice Address - Phone:956-929-8465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1221596225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist