Shepherd, Tim
Shepherd, Tim is an individual health care provider with primary practice located at 500 N Valley Pkwy Ste 101, Lewisville TX 75067. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shepherd, Tim can be contacted via phone (972) 420-8777.Contact Information
Primary practice address
500 N Valley Pkwy Ste 101
Lewisville TX 75067
Phone: (972) 420-8777
Fax: (972) 219-1978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | F4518 | Texas |
Profile Details
| NPI number | 1760488027 |
|---|---|
| LBN Legal business name | Shepherd, Tim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Aug 3rd, 2018 - about 7 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 | 1760488027 | NPPES |
| Texas | Other | B26392 | COMMERCIAL |
| Texas | Other | 00DQ67 | COMMERCIAL |
| Texas | MEDICAID | 114490905 | COMMERCIAL |
| Texas | Other | P00822864 | COMMERCIAL |
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