Shelton, Thomas O

Shelton, Thomas O is an sole proprietor health care provider with primary practice located at 1406 Wild Cat Holw , West Lake Hills TX 78746-3622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Shelton, Thomas O can be contacted via phone (512) 330-0918.

Contact Information

Primary practice address
1406 Wild Cat Holw West Lake Hills TX 78746-3622
Phone: (512) 330-0918
Fax: (512) 328-3694
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D5206 Texas

Profile Details

NPI number 1588625198
LBN Legal business name Shelton, Thomas O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated Apr 16th, 2009 - about 17 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 1588625198 NPPES
Minnesota Other 43348 STATE LICENSE
Minnesota Other 5608 STATE LICENSE
Minnesota MEDICAID 139107015 STATE LICENSE
Minnesota Other 7455 STATE LICENSE

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