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Individual

DR. MICHAEL WOODROW SHARP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
SADDLE OAK DRIVE, ARLINGTON, TX 76001
(817) 483-3852
Mailing address
PO BOX 175187, ARLINGTON, TX 76003-5187
(817) 483-3852

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-1273
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103105601
TX
05
103105602
TX
01
680011483
RAIL ROAD
TX
01
86382A
BLUE CROSS BLUE SHEILD
TX
Enumeration date
07/18/2006
Last updated
07/17/2007
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