Michael Vise Shelton M.D.

NPI 1003810995 - Family Medicine - 207Q00000X

NPI Details
NPI 1003810995
Gender Male
Enumeration Date 06/08/2005
Last Updated 07/20/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
4222 WENDOVER AVE
STE 600
ODESSA TX, 79762-5983, US
Phone (432) 552-5656
Fax (432) 552-0992
Business Location
4222 WENDOVER AVE
STE 600
ODESSA TX, 79762-5983, US
Phone (432) 552-5656
Fax (432) 552-0992
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number E8905
Remove 1003810995 NPI Number
 

According to our database, Dr. Michael Vise Shelton M.D. NPI is 1003810995, taxonomy code is 207Q00000X and license number is E8905, license state is located at Texas. Michael Vise Shelton M.D. physically located at 4222 Wendover Ave, Odessa TX, 79762-5983. NPI Number Michael Vise Shelton M.D. has the Individual type.

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1003810995 NPI number is provided on an as is basis without warranty of any kind. 1003810995 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Vise Shelton M.D. are for informational purposes only.