Provider Demographics
NPI:1649470089
Name:GAMARNIK, SHARI CAROLYN (MD)
Entity type:Individual
Prefix:DR
First Name:SHARI
Middle Name:CAROLYN
Last Name:GAMARNIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4161 MCKINNEY AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-8233
Mailing Address - Country:US
Mailing Address - Phone:214-219-6655
Mailing Address - Fax:214-219-6660
Practice Address - Street 1:4161 MCKINNEY AVE STE 300
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-8233
Practice Address - Country:US
Practice Address - Phone:214-219-6655
Practice Address - Fax:214-219-6660
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN7797207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX282714901Medicaid
TX8CN975OtherBCBSTX
TXTXB115351Medicare PIN