Provider Demographics
NPI:1336140771
Name:SANDIFER, SHERRI (MD)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:
Last Name:SANDIFER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 841969
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-1969
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8111 CYPRESSWOOD DR
Practice Address - Street 2:104
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7185
Practice Address - Country:US
Practice Address - Phone:281-376-0707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4692208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics