Provider Demographics
NPI:1851488712
Name:SHARI F. KIRSH, DPM PA
Entity Type:Organization
Organization Name:SHARI F. KIRSH, DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:FRANCINE
Authorized Official - Last Name:KIRSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-721-2993
Mailing Address - Street 1:9635 HILLCROFT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096
Mailing Address - Country:US
Mailing Address - Phone:713-721-2993
Mailing Address - Fax:713-721-3993
Practice Address - Street 1:9635 HILLCROFT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096
Practice Address - Country:US
Practice Address - Phone:713-721-2993
Practice Address - Fax:713-721-3993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1138213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX166847701Medicaid
TX6350380001Medicare NSC
TX166847701Medicaid