Provider Demographics
NPI:1811946569
Name:LEMLEY, SHERRY JANEEN (MD)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:JANEEN
Last Name:LEMLEY
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 1:11511 SHADOW CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7298
Mailing Address - Country:US
Mailing Address - Phone:713-442-4997
Mailing Address - Fax:
Practice Address - Street 1:5656 KELLEY ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77026-1967
Practice Address - Country:US
Practice Address - Phone:713-500-6295
Practice Address - Fax:713-500-0706
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8795207Q00000X, 207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8V1561OtherBCBSTX PROVIDER NO
1811946569OtherTRI CARE SOUTH
TX176577804Medicaid
TX176577803Medicaid
TX1811946569OtherTRICARE SOUTH
TX8G6655Medicare PIN
P00431487Medicare PIN
TX8V1561OtherBCBSTX PROVIDER NO
TX8G6656Medicare PIN
TX1811946569OtherTRICARE SOUTH
TX176577803Medicaid