Individual
MS. SHARLA SKINNER TISDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
18551 CHAMPION FOREST DR STE 103, SPRING, TX 77379-5582
(713) 819-6104
Mailing address
18551 CHAMPION FOREST DR STE 103, SPRING, TX 77379-5582
(713) 819-6104
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6229
—
LA
Enumeration date
06/02/2021
Last updated
12/29/2025
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