Most Relevant Information
Provider Data
| NPI Number: | 1003385378 |
| Provider Name: | SHARHONDA BLUE PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/16/2018 |
| Last Updated: | 12/16/2022 |
Provider Practice Location
7217 TELECOM PARKWAY
SUITE 290
GARLAND
TX
75044
Practice Location Phone/Fax
| Phone: | 4698002240 |
| Fax: |
Provider Mailing Location
7217 TELECOM PARKWAY
SUITE 290
GARLAND
TX
750447238
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |