Shepherd, Tim

Shepherd, Tim is an individual health care provider with primary practice located at 500 N Valley Pkwy Ste 101, Lewisville TX 75067. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shepherd, Tim can be contacted via phone (972) 420-8777.

Contact Information

Primary practice address
500 N Valley Pkwy Ste 101 Lewisville TX 75067
Phone: (972) 420-8777
Fax: (972) 219-1978
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X F4518 Texas

Profile Details

NPI number 1760488027
LBN Legal business name Shepherd, Tim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Aug 3rd, 2018 - about 8 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 1760488027 NPPES
Texas Other B26392 COMMERCIAL
Texas Other 00DQ67 COMMERCIAL
Texas MEDICAID 114490905 COMMERCIAL
Texas Other P00822864 COMMERCIAL

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