Provider Demographics
NPI:1336122290
Name:DENSON, SHARON DENICE (PA)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:DENICE
Last Name:DENSON
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:SHAREN
Other - Middle Name:DENICE
Other - Last Name:CLARK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA
Mailing Address - Street 1:7086 JAMIE LYN BLVD
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-4419
Mailing Address - Country:US
Mailing Address - Phone:254-630-4347
Mailing Address - Fax:
Practice Address - Street 1:3551 ROGER BROOKE DR
Practice Address - Street 2:
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:210-221-2624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical