Individual ProviderKhalda ShereFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address300 W Rosedale St, Fort Worth, TX 76104-4856(817) 335-2202(713) 208-4007PECOS EnrollmentBased on the most recent information from CMS, provider Khalda Shere is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1194792788Provider TypeIndividualFull NameShere, KhaldaTitleMrs.CredentialM.D., M.P.H.GenderFemaleSole ProprietorNoEnumeration Date3/2/2006Last Updated7/27/2008Contact InformationPractice LocationPractice Address300 W Rosedale St, Fort Worth, TX 76104-4856Phone(817) 335-2202FaxUnlisted FaxMailing LocationMailing Address3126 Rosemary Park Ln, Houston, TX 77082-6831Phone(713) 208-4007FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense4301084856MichiganCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense35.086896Ohio