Shepherd, Kurte Wally

Shepherd, Kurte Wally is an individual health care provider with primary practice located at 4501 Cartwright Rd Suite 208, Missouri City TX 77459-3534. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Shepherd, Kurte Wally can be contacted via phone (832) 539-1620.

Contact Information

Primary practice address
4501 Cartwright Rd Suite 208 Missouri City TX 77459-3534
Phone: (832) 539-1620
Fax: (832) 539-1621
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1563 Texas

Profile Details

NPI number 1376501692
LBN Legal business name Shepherd, Kurte Wally
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Feb 20th, 2009 - about 15 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 1376501692 NPPES
Other 5143640001 DMERC
Other 0035HW DMERC
MEDICAID 1529075002 DMERC

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