Koehler, Shirley

Koehler, Shirley is an individual health care provider with primary practice located at 210 S Avenue C , Crystal City TX 78839-3834. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Koehler, Shirley can be contacted via phone (830) 374-2952.

Contact Information

Primary practice address
210 S Avenue C Crystal City TX 78839-3834
Phone: (830) 374-2952
Fax: (830) 374-3784
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 92PA01 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA01316 Texas

Profile Details

NPI number 1689761363
LBN Legal business name Koehler, Shirley
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated May 11th, 2022 - 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 1689761363 NPPES
New Mexico MEDICAID 96694

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