Provider Demographics
NPI:1386134245
Name:STRICKLAND, SHARON
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:STRICKLAND
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 1:1410 S 3RD ST STE C
Mailing Address - Street 2:
Mailing Address - City:MABANK
Mailing Address - State:TX
Mailing Address - Zip Code:75147-7512
Mailing Address - Country:US
Mailing Address - Phone:903-880-5025
Mailing Address - Fax:
Practice Address - Street 1:1410 S 3RD ST STE C
Practice Address - Street 2:
Practice Address - City:MABANK
Practice Address - State:TX
Practice Address - Zip Code:75147-7512
Practice Address - Country:US
Practice Address - Phone:903-880-5025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-16
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX01238571OtherDEPARTMENT OF PUBLIC SAFETY