Shelton, Catherine

Shelton, Catherine is an individual health care provider with primary practice located at 520 E Douglas Blvd , Tyler TX 75702-8307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shelton, Catherine can be contacted via phone (903) 592-5618.

Contact Information

Primary practice address
520 E Douglas Blvd Tyler TX 75702-8307
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 645411 Texas

Profile Details

NPI number 1144295742
LBN Legal business name Shelton, Catherine
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Oct 14th, 2014 - about 10 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 1144295742 NPPES
Texas Other 75-2616977-121 TRICARE
Texas Other TIN PLUS SUFFIX 007 TRICARE
Texas MEDICAID 167486301 TRICARE

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