Provider Demographics
NPI:1861858359
Name:SHREYA HEALTH OF TEXAS, INC
Entity Type:Organization
Organization Name:SHREYA HEALTH OF TEXAS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TON
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-276-5553
Mailing Address - Street 1:1211 PUERTA DEL SOL
Mailing Address - Street 2:SUITE 280
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-6306
Mailing Address - Country:US
Mailing Address - Phone:949-276-5553
Mailing Address - Fax:
Practice Address - Street 1:1831 MURCHISON DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2917
Practice Address - Country:US
Practice Address - Phone:949-276-5553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-13
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder