Tim Shepherd Md Pa

LBN: Tim Shepherd Md Pa
Tim Shepherd Md Pa is an health care organization with primary practice located at 500 N Valley Pkwy Ste 101, Lewisville TX 75067-3552. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Tim Shepherd Md Pa can be contacted via phone (972) 420-8777, or through Shepherd, Tim S via phone (972) 420-8777.

Contact Information

Primary practice address
500 N Valley Pkwy Ste 101 Lewisville TX 75067-3552
Fax: (972) 219-1978
Website:
Authorized official contact:
Name: Shepherd, Tim S Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X F4518 Texas

Profile Details

NPI number 1255655007
LBN Legal business name Tim Shepherd Md Pa
DBA Doing business as
Authorized official Shepherd, Tim S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2010
Last updated Sep 30th, 2010 - about 15 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 1255655007 NPPES
Texas Other 00Z699 BLUE CROSS/BLUE SHIELD
Texas MEDICAID 212009901 BLUE CROSS/BLUE SHIELD
Texas Other B26392 BLUE CROSS/BLUE SHIELD
Texas Other DQ2129 BLUE CROSS/BLUE SHIELD

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