Provider Demographics
NPI:1740484328
Name:THOMAS, SHERRIE PARKER (MD)
Entity type:Individual
Prefix:DR
First Name:SHERRIE
Middle Name:PARKER
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHERRIE
Other - Middle Name:LYNN
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9000 DEER SHADOW PASS
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78733-6123
Mailing Address - Country:US
Mailing Address - Phone:281-682-5540
Mailing Address - Fax:512-334-2702
Practice Address - Street 1:900 E 30TH ST
Practice Address - Street 2:STE. 100
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-3326
Practice Address - Country:US
Practice Address - Phone:512-505-5500
Practice Address - Fax:512-334-2702
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP1-0016963208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX219401102Medicaid
TX219401103Medicaid
TX219401104Medicaid
TX219401102Medicaid