Provider Demographics
NPI:1659675882
Name:SHERTX LLC
Entity type:Organization
Organization Name:SHERTX LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:IM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-731-8711
Mailing Address - Street 1:9774 KATY FWY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-6223
Mailing Address - Country:US
Mailing Address - Phone:832-358-0200
Mailing Address - Fax:
Practice Address - Street 1:9774 KATY FWY
Practice Address - Street 2:SUITE 500
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-6223
Practice Address - Country:US
Practice Address - Phone:832-358-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-03
Last Update Date:2023-09-15
Deactivation Date:2023-06-05
Deactivation Code:
Reactivation Date:2023-07-26
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care