Provider Demographics
NPI:1376784512
Name:ROSENTHAL, SHARON K (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:K
Last Name:ROSENTHAL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3370 NACOGDOCHES RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-3375
Mailing Address - Country:US
Mailing Address - Phone:210-590-3033
Mailing Address - Fax:210-590-3121
Practice Address - Street 1:3370 NACOGDOCHES RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-3375
Practice Address - Country:US
Practice Address - Phone:210-590-3033
Practice Address - Fax:210-590-3121
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE0942207ZC0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE0942OtherSTATE LICENSE
TXE59111OtherUPIN