Provider Demographics
NPI:1639164031
Name:IGLEHART, SHARON LYNETTE (MD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:LYNETTE
Last Name:IGLEHART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14359 TORREY CHASE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1635
Mailing Address - Country:US
Mailing Address - Phone:281-893-5828
Mailing Address - Fax:281-893-3830
Practice Address - Street 1:5640 BRIAR DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-1004
Practice Address - Country:US
Practice Address - Phone:281-893-5828
Practice Address - Fax:281-893-3830
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2008-09-30
Deactivation Date:2006-03-23
Deactivation Code:
Reactivation Date:2006-04-11
Provider Licenses
StateLicense IDTaxonomies
TXH48322084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX135550502Medicaid
TX135550502Medicaid
TXE49878Medicare UPIN