Individual
SHARON CHARRISSE BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2910 CENTER, DEER PARK, TX 77536
(281) 479-5941
Mailing address
2910 CENTER, DEER PARK, TX 77536
(281) 479-5941
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01957
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA17313
—
CA
Enumeration date
05/31/2006
Last updated
05/02/2016
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