Provider Demographics
NPI:1659465300
Name:LIM, SHERRY J (MD)
Entity Type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:J
Last Name:LIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6560 FANNIN ST
Mailing Address - Street 2:SUITE 1750
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2761
Mailing Address - Country:US
Mailing Address - Phone:713-790-4830
Mailing Address - Fax:713-793-7824
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:SUITE 1750
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-790-4830
Practice Address - Fax:713-793-7824
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM18832086X0206X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX175545601Medicaid
TX8DW016OtherBLUE CROSS BLUE SHIELD
TX88K610OtherBCBSTX
TX8GD747OtherBCBS
TX175545603Medicaid
TX175545604Medicaid
TX301642ZSWDMedicare PIN
TX8DW016OtherBLUE CROSS BLUE SHIELD
TX175545601Medicaid
TX8L4364Medicare PIN