Provider Demographics
NPI:1659719292
Name:KLUGER, SHARON BATYA (CPNP-PC/AC)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:BATYA
Last Name:KLUGER
Suffix:
Gender:F
Credentials:CPNP-PC/AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6906 ROCKY TOP CIR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-6112
Mailing Address - Country:US
Mailing Address - Phone:210-289-2544
Mailing Address - Fax:
Practice Address - Street 1:1935 MEDICAL DISTRICT DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7701
Practice Address - Country:US
Practice Address - Phone:214-456-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-05
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX795082163W00000X, 363LP0200X
NJ26NR16362500163W00000X
PARN641677163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX327386402OtherCSHCN
TX327386401Medicaid
TX331790YK00Medicare PIN