Provider Demographics
NPI:1609688019
Name:FEATHERSTONE, SHARON
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:FEATHERSTONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4911 HAVERWOOD LN APT 2522
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-4438
Mailing Address - Country:US
Mailing Address - Phone:954-839-4393
Mailing Address - Fax:
Practice Address - Street 1:3611 S LANCASTER RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-5628
Practice Address - Country:US
Practice Address - Phone:954-839-4393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier