Provider Demographics
NPI:1720062078
Name:SHERMAN, PATRICK ARTHUR (PA-C, MHS)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:ARTHUR
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:PA-C, MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:463 GRAHAM RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78234-2623
Mailing Address - Country:US
Mailing Address - Phone:210-221-7179
Mailing Address - Fax:210-221-8493
Practice Address - Street 1:3851 ROGER BROOK DR
Practice Address - Street 2:
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-6200
Practice Address - Country:US
Practice Address - Phone:210-221-7179
Practice Address - Fax:210-221-8493
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA02819363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant