Provider Demographics
NPI:1548399975
Name:LARKIN, SHARON LOUISE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:LOUISE
Last Name:LARKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8204 ELMBROOK DR STE 160
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-4013
Mailing Address - Country:US
Mailing Address - Phone:214-631-2947
Mailing Address - Fax:214-688-4447
Practice Address - Street 1:8204 ELMBROOK DR STE 160
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-4013
Practice Address - Country:US
Practice Address - Phone:214-631-2947
Practice Address - Fax:214-688-4447
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6859207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX031732301Medicaid
TX031732301Medicaid
TXC18167Medicare UPIN