Shearer, Evelyn Virginia
Shearer, Evelyn Virginia is an sole proprietor health care provider with primary practice located at 2300 Marie Curie Dr , Garland TX 75042-5706. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Shearer, Evelyn Virginia can be contacted via phone (713) 818-8386.Contact Information
Primary practice address
2300 Marie Curie Dr
Garland TX 75042-5706
Phone: (713) 818-8386
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | J3218 | Texas |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | J3218 | Texas |
Profile Details
| NPI number | 1114092871 |
|---|---|
| LBN Legal business name | Shearer, Evelyn Virginia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Mar 7th, 2023 - 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 | 1114092871 | NPPES |
| Texas | Other | J3218 | TEXAS STATE PERMIT |
| Texas | Other | MD28144 | TEXAS STATE PERMIT |
| Texas | MEDICAID | 1285157-07 | TEXAS STATE PERMIT |
| Texas | Other | MD2008-0719 | TEXAS STATE PERMIT |
| Texas | Other | MD00046604 | TEXAS STATE PERMIT |
| Texas | Other | T0083311 | TEXAS STATE PERMIT |
| Texas | MEDICAID | 128515702 | TEXAS STATE PERMIT |
| Texas | Other | 33561 | TEXAS STATE PERMIT |
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