Shepherd, David L

Shepherd, David L is an individual health care provider with primary practice located at 801 W I 20 Ste 1 , Arlington TX 76017-5851. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Shepherd, David L can be contacted via phone (817) 784-8268.

Contact Information

Primary practice address
801 W I 20 Ste 1 Arlington TX 76017-5851
Fax: (817) 417-1150
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X K4242 Texas

Profile Details

NPI number 1730166893
LBN Legal business name Shepherd, David L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Nov 1st, 2019 - about 5 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 1730166893 NPPES
Texas Other 117785908 MEDICAID OTHER
Texas MEDICAID 117785905 MEDICAID OTHER
Texas MEDICAID 117785906 MEDICAID OTHER
Texas MEDICAID 117785907 MEDICAID OTHER
Texas MEDICAID 117785909 MEDICAID OTHER
Texas MEDICAID 117785904 MEDICAID OTHER

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