Shackelford, Robert P

Shackelford, Robert P is an individual health care provider with primary practice located at 113 Airport Road Suite 200, Sulphur Springs TX 75482. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Shackelford, Robert P can be contacted via phone (903) 439-6302.

Contact Information

Primary practice address
113 Airport Road Suite 200 Sulphur Springs TX 75482
Phone: (903) 439-6302
Fax: (903) 439-2765
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G0922 Texas

Profile Details

NPI number 1578633236
LBN Legal business name Shackelford, Robert P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Dec 4th, 2012 - about 12 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 1578633236 NPPES
Texas MEDICAID 033213202
Texas Other 0053NG
Texas MEDICAID 033213203
Texas Other 4617433

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