Huckaby, Shelly L.

Huckaby, Shelly L. is an individual health care provider with primary practice located at 18230 Fm 1488 Rd Ste 200 , Magnolia TX 77354-4530. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Huckaby, Shelly L. can be contacted via phone (936) 270-4800.

Contact Information

Primary practice address
18230 Fm 1488 Rd Ste 200 Magnolia TX 77354-4530
Phone: (936) 270-4800
Fax: (936) 270-4801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 669836 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP114965 Texas

Profile Details

NPI number 1245256262
LBN Legal business name Huckaby, Shelly L.
Credentials RN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Sep 1st, 2023 - about 3 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 1245256262 NPPES
Texas MEDICAID 328218809

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