Crawford, Shellye Elaine
Crawford, Shellye Elaine is an individual health care provider with primary practice located at 1935 Medical District Dr. , Dallas TX 75235-7701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Crawford, Shellye Elaine can be contacted via phone (214) 456-8190.Contact Information
Primary practice address
1935 Medical District Dr.
Dallas TX 75235-7701
Phone: (214) 456-8190
Fax: (214) 456-5071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 594184 | Texas |
Profile Details
| NPI number | 1760554216 |
|---|---|
| LBN Legal business name | Crawford, Shellye Elaine |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Apr 26th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760554216 | NPPES |
| Texas | Other | UT000CH54 | BLUE SHIELD |
| Texas | Other | 7000156 | BLUE SHIELD |
| Texas | Other | 16801001 | BLUE SHIELD |
| Texas | MEDICAID | 168010001 | BLUE SHIELD |
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