Provider Demographics
NPI:1346844347
Name:SHERMAN PRIMARY CARE
Entity Type:Organization
Organization Name:SHERMAN PRIMARY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENARJI
Authorized Official - Middle Name:
Authorized Official - Last Name:TEGALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-226-9614
Mailing Address - Street 1:204 MEDICAL DR # 210
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-6366
Mailing Address - Country:US
Mailing Address - Phone:903-226-9614
Mailing Address - Fax:903-226-9647
Practice Address - Street 1:204 MEDICAL DR # 210
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-6366
Practice Address - Country:US
Practice Address - Phone:903-226-9614
Practice Address - Fax:903-226-9647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty