Kathleen Louise Shide MD

NPI 1073550455 - Radiology - 2085R0001X

NPI Details
NPI 1073550455
Gender Female
Enumeration Date 06/02/2006
Last Updated 05/08/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1450 8TH AVE
FORT WORTH TX, 76104-4110, US
Phone (817) 923-4423
Fax (817) 923-3176
Business Location
PO BOX 911230
DALLAS TX, 75391-1230, US
Phone (972) 997-8000
Fax (972) 437-9605
Taxonomy Code 2085R0001X
License State Texas
License Number K3007
Remove 1073550455 NPI Number

According to our database, Dr. Kathleen Louise Shide MD NPI is 1073550455, taxonomy code is 2085R0001X and license number is K3007, license state is located at Texas. Kathleen Louise Shide MD physically located at 1450 8th Ave, Fort Worth TX, 76104-4110. NPI Number Kathleen Louise Shide MD has the Individual type.

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1073550455 NPI number is provided on an as is basis without warranty of any kind. 1073550455 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Louise Shide MD are for informational purposes only.