Seroyer, Shane T

Seroyer, Shane T is an individual health care provider with primary practice located at 3533 Matlock Road , Arlington TX 76015-3604. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Seroyer, Shane T can be contacted via phone (817) 419-0303.

Contact Information

Primary practice address
3533 Matlock Road Arlington TX 76015-3604
Phone: (817) 419-0303
Fax: (817) 468-5963
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X N1887 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X N1887 Texas

Profile Details

NPI number 1487857892
LBN Legal business name Seroyer, Shane T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Oct 4th, 2023 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487857892 NPPES
Texas MEDICAID 204613801

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