Provider Demographics
NPI:1437910247
Name:SHEHABELDIN, SHERIN F
Entity Type:Individual
Prefix:
First Name:SHERIN
Middle Name:F
Last Name:SHEHABELDIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 SYCAMORE DR
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-3541
Mailing Address - Country:US
Mailing Address - Phone:716-861-6049
Mailing Address - Fax:
Practice Address - Street 1:2436 S I 35 E STE 336B
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-4900
Practice Address - Country:US
Practice Address - Phone:469-702-2006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73332183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist