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Individual

SARAH SHOEMAKER WAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5201 HARRY HINES BLVD, HOUSE STAFF & GME, DALLAS, TX 75235-7708
(214) 590-8058
Mailing address
5201 HARRY HINES BLVD, HOUSE STAFF & GME, DALLAS, TX 75235-7708
(214) 590-8058

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
M6458
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0017PT
BCBS
TX
05
186755801
TX
01
BP1-0017866
INSTITUTIONAL PERMIT
Enumeration date
05/31/2007
Last updated
03/18/2008
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