Provider Demographics
NPI:1467764209
Name:HOLINEJ, SHARISSE (MD)
Entity Type:Individual
Prefix:
First Name:SHARISSE
Middle Name:
Last Name:HOLINEJ
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 1:1700 N HIGHWAY 77 STE 210
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-7832
Mailing Address - Country:US
Mailing Address - Phone:972-937-1210
Mailing Address - Fax:972-937-0243
Practice Address - Street 1:1700 N HIGHWAY 77 STE 210
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-7832
Practice Address - Country:US
Practice Address - Phone:972-937-1210
Practice Address - Fax:972-937-0243
Is Sole Proprietor?:No
Enumeration Date:2010-07-09
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ6754207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine