Shepherd, Laquita Ann

Shepherd, Laquita Ann is an individual health care provider with primary practice located at 1010 N Belt Line Rd Ste 105 , Mesquite TX 75149. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shepherd, Laquita Ann can be contacted via phone (972) 686-1234.

Contact Information

Primary practice address
1010 N Belt Line Rd Ste 105 Mesquite TX 75149
Fax: (972) 686-9000
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X H4698 Texas

Profile Details

NPI number 1063483998
LBN Legal business name Shepherd, Laquita Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated May 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 1063483998 NPPES
Texas Other 8DF664 BLUE CROSS

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