Shelton, Douglas R

Shelton, Douglas R is an individual health care provider with primary practice located at 1901 Medi Park Dr Ste 6 , Amarillo TX 79106-2105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Shelton, Douglas R can be contacted via phone (806) 359-9820.

Contact Information

Primary practice address
1901 Medi Park Dr Ste 6 Amarillo TX 79106-2105
Phone: (806) 359-9820
Fax: (806) 359-7627
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X J2325 Texas

Profile Details

NPI number 1205874484
LBN Legal business name Shelton, Douglas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jun 16th, 2015 - about 11 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 1205874484 NPPES
Texas MEDICAID 142700702
Texas Other 160056104

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