Provider Demographics
NPI:1093570343
Name:STEWART, SHARRONICA
Entity Type:Individual
Prefix:
First Name:SHARRONICA
Middle Name:
Last Name:STEWART
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 1:8303 PASHA DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-1520
Mailing Address - Country:US
Mailing Address - Phone:601-462-1292
Mailing Address - Fax:855-509-1167
Practice Address - Street 1:8303 PASHA DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-1520
Practice Address - Country:US
Practice Address - Phone:601-462-1292
Practice Address - Fax:855-509-1167
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty