Provider Demographics
NPI:1275848442
Name:HANDLIN, SHERYL RENEE (OM)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:RENEE
Last Name:HANDLIN
Suffix:
Gender:F
Credentials:OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14461 FM 450 N.
Mailing Address - Street 2:
Mailing Address - City:DIANA
Mailing Address - State:TX
Mailing Address - Zip Code:75640-4813
Mailing Address - Country:US
Mailing Address - Phone:903-241-0061
Mailing Address - Fax:
Practice Address - Street 1:14461 FM 450 N
Practice Address - Street 2:
Practice Address - City:DIANA
Practice Address - State:TX
Practice Address - Zip Code:75640-4813
Practice Address - Country:US
Practice Address - Phone:903-241-0061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10091174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist