Individual
EDWARD A SHARRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
200 S JOHN REDDITT DR., LUFKIN, TX 75904
(936) 632-5252
(936) 632-5284
Mailing address
200 S JOHN REDDITT DR., LUFKIN, TX 75904
(936) 632-5252
(936) 632-5284
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
125
WY
213E00000X
Podiatrist
Primary
1791
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120114000
—
WY
05
—
193055401
—
TX
01
—
312912
BLUE CROSS
WY
Enumeration date
09/12/2005
Last updated
10/13/2009
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