Shellie Diane Shepherd, PA-C

NPI #1043252299 in Burleson, Texas

Provider Information

NPI Number: 1043252299
Entity Type: Individual
Name: Shellie Diane Shepherd, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 12, 2006
Last Updated: Nov 1, 2019

Practice Location

Address: 12608 SOUTH FWY STE 140
City: Burleson
State: Texas
ZIP Code: 76028-8435
Phone: (817) 295-7214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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