Tim Shepherd Md Pa

NPI 1255655007 - Family Medicine - 207Q00000X

NPI Details
NPI 1255655007
Enumeration Date 03/23/2010
Last Updated 09/30/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name TIM S TIM
Position OWNER
Phone (972) 420-8777
Fax (972) 219-1978
Practice Location
500 N VALLEY PKWY
STE 101
LEWISVILLE TX, 75067-3552, US
Phone (972) 420-8777
Fax (972) 219-1978
Business Location
500 N VALLEY PKWY
STE 101
LEWISVILLE TX, 75067-3552, US
Phone (972) 420-8777
Fax (972) 219-1978
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number F4518
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According to our database, Tim Shepherd Md Pa NPI is 1255655007, taxonomy code is 207Q00000X and license number is F4518, license state is located at Texas. Tim Shepherd Md Pa physically located at 500 N Valley Pkwy, Lewisville TX, 75067-3552. NPI Number 1033115704 has the healthcare provider type.

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1255655007 NPI number is provided on an as is basis without warranty of any kind. 1255655007 is maintained by the National Plan & Provider Enumeration System. The contents of Tim Shepherd Md Pa are for informational purposes only.