Provider Demographics
NPI:1548297096
Name:SHARMAN, RALPH STODDARD JR (MD)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:STODDARD
Last Name:SHARMAN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5625 EIGER RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-8982
Mailing Address - Country:US
Mailing Address - Phone:512-892-7076
Mailing Address - Fax:512-899-8460
Practice Address - Street 1:170 BENNEY LANE
Practice Address - Street 2:SUITE 200
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-5248
Practice Address - Country:US
Practice Address - Phone:512-858-2997
Practice Address - Fax:512-858-2987
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4796207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00750QMedicare ID - Type Unspecified
TXG87207Medicare UPIN
318853YLCDMedicare PIN