Stussy, Shawn A

Stussy, Shawn A is an individual health care provider with primary practice located at 5212 W 7Th St , Wake Village TX 75501-5930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stussy, Shawn A can be contacted via phone (903) 831-6848.

Contact Information

Primary practice address
5212 W 7Th St Wake Village TX 75501-5930
Phone: (903) 831-6848
Fax: (903) 223-7089
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K1938 Texas

Profile Details

NPI number 1821082835
LBN Legal business name Stussy, Shawn A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jun 13th, 2014 - about 10 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 1821082835 NPPES
Texas Other 5011750001 CIGNA GOVERNMENT SERVICES
Texas MEDICAID 040099604 CIGNA GOVERNMENT SERVICES

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