Provider Demographics
NPI:1912382664
Name:SHARAWI, HANNAH
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:SHARAWI
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 1:3100 PREMIER DR
Mailing Address - Street 2:STE 234
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-2661
Mailing Address - Country:US
Mailing Address - Phone:972-756-1222
Mailing Address - Fax:817-382-4850
Practice Address - Street 1:8004 WEST AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1870
Practice Address - Country:US
Practice Address - Phone:210-340-2627
Practice Address - Fax:817-382-4850
Is Sole Proprietor?:No
Enumeration Date:2015-07-23
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115245225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX350444101Medicaid