Short, Herbert D
Short, Herbert D is an individual health care provider with primary practice located at 910 East Houston Ste 530, Tyler TX 75702-8366. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Short, Herbert D can be contacted via phone (903) 525-2992.Contact Information
Primary practice address
910 East Houston Ste 530
Tyler TX 75702-8366
Phone: (903) 525-2992
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | E1941 | Texas |
Profile Details
| NPI number | 1194735613 |
|---|---|
| LBN Legal business name | Short, Herbert D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Dec 9th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194735613 | NPPES |
| Texas | MEDICAID | 134247909 |
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