Provider Demographics
NPI:1265841647
Name:SHERBERT, JULIE ANN (MPAS, PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ANN
Last Name:SHERBERT
Suffix:
Gender:F
Credentials:MPAS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E TEXAS BLVD
Mailing Address - Street 2:
Mailing Address - City:DALHART
Mailing Address - State:TX
Mailing Address - Zip Code:79022-4321
Mailing Address - Country:US
Mailing Address - Phone:806-249-8324
Mailing Address - Fax:
Practice Address - Street 1:201 E TEXAS BLVD
Practice Address - Street 2:
Practice Address - City:DALHART
Practice Address - State:TX
Practice Address - Zip Code:79022-4321
Practice Address - Country:US
Practice Address - Phone:806-249-8324
Practice Address - Fax:806-249-8412
Is Sole Proprietor?:No
Enumeration Date:2014-08-11
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA09055363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant