Provider Demographics
NPI:1497094072
Name:ANDREWS, SHARON KAYE
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:KAYE
Last Name:ANDREWS
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 1:907 FENCE LINE RD
Mailing Address - Street 2:APT 636
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-6587
Mailing Address - Country:US
Mailing Address - Phone:323-459-4255
Mailing Address - Fax:
Practice Address - Street 1:1156 W HEFNER RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-7028
Practice Address - Country:US
Practice Address - Phone:323-459-4255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-02
Last Update Date:2013-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health