Shore & Associates Pc

LBN: Shore & Associates Pc
Shore & Associates Pc is an health care organization with primary practice located at 804 Spring Creek Dr , Tyler TX 75703. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Shore & Associates Pc can be contacted via phone (903) 939-8760, or through Shore, Robert J via phone (903) 939-8760.

Contact Information

Primary practice address
804 Spring Creek Dr Tyler TX 75703
Phone: (903) 939-8760
Fax: (903) 939-8760
Website:
Map and Directions
Authorized official contact:
Name: Shore, Robert J PHD
Phone: (903) 939-8760

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 24292 Tennessee

Profile Details

NPI number 1093982258
LBN Legal business name Shore & Associates Pc
DBA Doing business as
Authorized official Shore, Robert J PHD
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2008
Last updated May 15th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093982258 NPPES
Texas MEDICAID 040822101
Texas MEDICAID 11601-160-01

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