Provider Demographics
NPI:1750191805
Name:SPEARMAN, SHERICA SHARDAE
Entity type:Individual
Prefix:
First Name:SHERICA
Middle Name:SHARDAE
Last Name:SPEARMAN
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 1:4912 FOX RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7881
Mailing Address - Country:US
Mailing Address - Phone:469-996-5662
Mailing Address - Fax:
Practice Address - Street 1:9250 DALLAS PKWY # 100A
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4262
Practice Address - Country:US
Practice Address - Phone:469-996-5662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38787322172A00000X, 171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No172A00000XOther Service ProvidersDriver