| Shane Kelleher, PA-C | |
|
1500 Cooper St, Fort Worth, TX 76104-2710 | |
| (682) 885-7840 | |
| (682) 885-7856 |
| Full Name | Shane Kelleher |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1500 Cooper St, Fort Worth, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003273939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2628 (Oklahoma) | Secondary |
| 363A00000X | Physician Assistant | PA105592 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Kelleher, PA-C Po Box 99371, Fort Worth, TX 76199-0371 Ph: (682) 885-1855 | Shane Kelleher, PA-C 1500 Cooper St, Fort Worth, TX 76104-2710 Ph: (682) 885-7840 |
Phillip Steven Woessner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104 Phone: 817-250-4280 Fax: 817-250-4281 | |
Danielle Purcell Lopez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2332 Beverly Hills Dr, Fort Worth, TX 76114 Phone: 817-378-0855 Fax: 817-378-0861 | |
Jaimie Ann Story, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6900 Harris Pkwy Ste 310, Fort Worth, TX 76132 Phone: 817-375-5200 | |
Sharyl Workman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-927-1100 | |
Mrs. Audrey Raquel Nelson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 Hemphill St, Fort Worth, TX 76104 Phone: 817-332-4060 Fax: 817-332-2304 | |
Mrs. Karen S. Moreland, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 6600 Bryant Irvin Rd, Fort Worth, TX 76132 Phone: 817-820-0011 Fax: 817-820-0073 |