Justin Shields

NPI #1205247582 in Red Oak, Texas

Provider Information

NPI Number: 1205247582
Entity Type: Individual
Name: Justin Shields
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: May 8, 2014
Last Updated: May 8, 2014

Practice Location

Address: 307 E OVILLA RD
Address 2: SUITE # 100
City: Red Oak
State: Texas
ZIP Code: 75154-3898
Phone: (972) 576-2920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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