Provider Demographics
NPI:1811542772
Name:REED, SHARRIAN D
Entity Type:Individual
Prefix:
First Name:SHARRIAN
Middle Name:D
Last Name:REED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 S CENTER ST STE 140
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-2155
Mailing Address - Country:US
Mailing Address - Phone:817-557-1006
Mailing Address - Fax:817-557-2000
Practice Address - Street 1:3050 S CENTER ST STE 140
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-2155
Practice Address - Country:US
Practice Address - Phone:817-557-1006
Practice Address - Fax:817-557-2000
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2100670208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation