Individual provider · Type 1 NPI

Bert Eagle Sharp, D.P.M.

Foot & Ankle Surgery Podiatrist · Longview, TX

NPI number 1316900376 Active

Practice location

613 N 4th St
Longview, TX 75601-6616

Fax (903) 758-0279

Specialties and licenses

TaxonomyCodeLicense
Podiatrist 213E00000X1032 (TX)
Radiology Podiatrist 213ER0200X1032 (TX)
Sports Medicine Podiatrist 213ES0000X1032 (TX)
Foot & Ankle Surgery Podiatrist Primary 213ES0103X1032 (TX)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1316900376

Bert Eagle Sharp, D.P.M.'s National Provider Identifier is 1316900376, issued on Apr 10, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Longview, TX. The record was last updated on Sep 16, 2024.