Provider Demographics
NPI:1679518930
Name:KIRSH, SHARI FRANCINE (DPM)
Entity type:Individual
Prefix:DR
First Name:SHARI
Middle Name:FRANCINE
Last Name:KIRSH
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 HIGHWAY 36 S
Mailing Address - Street 2:
Mailing Address - City:SEALY
Mailing Address - State:TX
Mailing Address - Zip Code:77474-4223
Mailing Address - Country:US
Mailing Address - Phone:979-885-7827
Mailing Address - Fax:713-721-3993
Practice Address - Street 1:2308 HIGHWAY 36 S
Practice Address - Street 2:
Practice Address - City:SEALY
Practice Address - State:TX
Practice Address - Zip Code:77474-4223
Practice Address - Country:US
Practice Address - Phone:979-885-7827
Practice Address - Fax:713-721-3993
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1138213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
8B8855Medicare ID - Type Unspecified
U18430Medicare UPIN
8B9323Medicare ID - Type Unspecified