Shade, Ronnie D
Shade, Ronnie D is an individual health care provider with primary practice located at 7310 S Westmoreland Rd Ste 1 , Dallas TX 75237-2998. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Shade, Ronnie D can be contacted via phone (214) 337-4700.Contact Information
Primary practice address
7310 S Westmoreland Rd Ste 1
Dallas TX 75237-2998
Phone: (214) 337-4700
Fax: (972) 709-2847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G6395 | Texas |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | G6395 | Texas |
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | G6395 | Texas |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | G6395 | Texas |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | G6395 | Texas |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | G6395 | Texas |
Profile Details
| NPI number | 1952309973 |
|---|---|
| LBN Legal business name | Shade, Ronnie D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Nov 29th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952309973 | NPPES |
| Texas | MEDICAID | 032574801 | |
| Texas | Other | 00CW90 | |
| Texas | Other | 472312ZS6W |
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