Provider Demographics
NPI:1992877674
Name:SHERMAN SURGICAL ASSOCIATES II, LLP
Entity type:Organization
Organization Name:SHERMAN SURGICAL ASSOCIATES II, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:G
Authorized Official - Last Name:BUCKINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-892-8111
Mailing Address - Street 1:600 N HIGHLAND AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-5601
Mailing Address - Country:US
Mailing Address - Phone:903-892-8111
Mailing Address - Fax:903-893-8437
Practice Address - Street 1:600 N HIGHLAND AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-5601
Practice Address - Country:US
Practice Address - Phone:903-892-8111
Practice Address - Fax:903-893-8437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00731WMedicare ID - Type Unspecified