Shelton, Douglas R
Shelton, Douglas R is an individual health care provider with primary practice located at 1901 Medi Park Dr Ste 6 , Amarillo TX 79106-2105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Shelton, Douglas R can be contacted via phone (806) 359-9820.Contact Information
Primary practice address
1901 Medi Park Dr Ste 6
Amarillo TX 79106-2105
Phone: (806) 359-9820
Fax: (806) 359-7627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | J2325 | Texas |
Profile Details
| NPI number | 1205874484 |
|---|---|
| LBN Legal business name | Shelton, Douglas R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jun 16th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205874484 | NPPES |
| Texas | MEDICAID | 142700702 | |
| Texas | Other | 160056104 |
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