Shepard, Mary M

Shepard, Mary M is an individual health care provider with primary practice located at 1415 California St , Houston TX 77006-2602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shepard, Mary M can be contacted via phone (832) 548-5000.

Contact Information

Primary practice address
1415 California St Houston TX 77006-2602
Phone: (832) 548-5000
Fax: (713) 523-4897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 661009 Texas

Profile Details

NPI number 1730131335
LBN Legal business name Shepard, Mary M
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 25th, 2013 - about 13 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 1730131335 NPPES
Texas MEDICAID 080462703

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