Provider Demographics
NPI:1487029823
Name:SHARMA HOME VISITS MHT, LLC
Entity Type:Organization
Organization Name:SHARMA HOME VISITS MHT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-633-4663
Mailing Address - Street 1:1600 COIT RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-6174
Mailing Address - Country:US
Mailing Address - Phone:844-633-4663
Mailing Address - Fax:
Practice Address - Street 1:1575 HERITAGE DR
Practice Address - Street 2:SUITE 204
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3288
Practice Address - Country:US
Practice Address - Phone:844-633-4663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-10
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1927207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX103562804Medicaid