Shelton, Thomas O
Shelton, Thomas O is an sole proprietor health care provider with primary practice located at 1406 Wild Cat Holw , West Lake Hills TX 78746-3622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Shelton, Thomas O can be contacted via phone (512) 330-0918.Contact Information
Primary practice address
1406 Wild Cat Holw
West Lake Hills TX 78746-3622
Phone: (512) 330-0918
Fax: (512) 328-3694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D5206 | Texas |
Profile Details
| NPI number | 1588625198 |
|---|---|
| LBN Legal business name | Shelton, Thomas O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Apr 16th, 2009 - about 17 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 | 1588625198 | NPPES |
| Minnesota | Other | 43348 | STATE LICENSE |
| Minnesota | Other | 5608 | STATE LICENSE |
| Minnesota | MEDICAID | 139107015 | STATE LICENSE |
| Minnesota | Other | 7455 | STATE LICENSE |
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