Provider Demographics
NPI:1760492078
Name:MARCHAND, SHARON MARY HEARTFIELD (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:MARY HEARTFIELD
Last Name:MARCHAND
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 1:350 PINE ST
Mailing Address - Street 2:SUITE 1438
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-2437
Mailing Address - Country:US
Mailing Address - Phone:409-835-2737
Mailing Address - Fax:409-835-7546
Practice Address - Street 1:350 PINE ST
Practice Address - Street 2:SUITE 1438
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-2437
Practice Address - Country:US
Practice Address - Phone:409-835-2737
Practice Address - Fax:409-835-7546
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8123207N00000X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH94217Medicare UPIN
TX168959801Medicaid
TX8B9234Medicare PIN