Provider Demographics
NPI:1598957862
Name:JEFFERIES, SHARI SISTRUNK (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARI
Middle Name:SISTRUNK
Last Name:JEFFERIES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHARI
Other - Middle Name:GLYNN
Other - Last Name:SISTRUNK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6750 WEST LOOP S
Mailing Address - Street 2:SUITE 375
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4103
Mailing Address - Country:US
Mailing Address - Phone:713-664-1300
Mailing Address - Fax:713-664-1308
Practice Address - Street 1:6750 WEST LOOP S
Practice Address - Street 2:SUITE 375
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4103
Practice Address - Country:US
Practice Address - Phone:713-664-1300
Practice Address - Fax:713-664-1308
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2657208000000X, 2084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry