Provider Demographics
NPI:1053465948
Name:RALPH S. SHARMAN, JR., MD, PA
Entity Type:Organization
Organization Name:RALPH S. SHARMAN, JR., MD, PA
Other - Org Name:SHARMAN FAMILY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:STODDARD
Authorized Official - Last Name:SHARMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:512-858-2997
Mailing Address - Street 1:PO BOX 1260
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-1260
Mailing Address - Country:US
Mailing Address - Phone:512-858-2997
Mailing Address - Fax:512-858-2987
Practice Address - Street 1:104 MERCER, SUITE H
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620
Practice Address - Country:US
Practice Address - Phone:512-858-2997
Practice Address - Fax:512-858-2987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4796207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00750QMedicare ID - Type Unspecified
TXG87207Medicare UPIN