Provider Demographics
NPI:1437108057
Name:HAIN, SHERI (BS, MPAS, PA-C)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:
Last Name:HAIN
Suffix:
Gender:F
Credentials:BS, MPAS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 LEBRUN CT
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77551-1565
Mailing Address - Country:US
Mailing Address - Phone:409-939-5320
Mailing Address - Fax:
Practice Address - Street 1:6801 EMMETT F LOWRY EXPY
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-2500
Practice Address - Country:US
Practice Address - Phone:409-938-5000
Practice Address - Fax:409-938-5001
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA03730363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8Y0074OtherBCBSTX PROV. NO.
TX8Y0074OtherBCBSTX PROV. NO.
TX8J4516Medicare PIN