Shepherd, Mary Elizabeth

Shepherd, Mary Elizabeth is an individual health care provider with primary practice located at 12545 Riata Vista Cir , Austin TX 78727-6524. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Shepherd, Mary Elizabeth can be contacted via phone (512) 526-1776.

Contact Information

Primary practice address
12545 Riata Vista Cir Austin TX 78727-6524
Phone: (512) 526-1776
Fax: (512) 298-1277
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X H6599 Texas

Profile Details

NPI number 1144210352
LBN Legal business name Shepherd, Mary Elizabeth
Credentials M.D.,PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Sep 30th, 2020 - about 6 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 1144210352 NPPES
Texas Other 8B8802 BLUE CROSS BLUE SHIELD
Texas MEDICAID 105402503 BLUE CROSS BLUE SHIELD

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