| Milton W Shepperd, Do, Pa | |
|
113 Broadmoor St Meadowlakes TX 78654-6601 | |
| (830) 693-1792 | |
| (830) 693-1685 |
| Full Name | Milton W Shepperd, Do, Pa |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 113 Broadmoor St, Meadowlakes, Texas |
| Authorized Official Name and Position | Milton Shepperd (PRESIDENT) |
| Authorized Official Contact | 5125084312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milton W Shepperd, Do, Pa Po Box 1930 Marble Falls TX 78654-2680 Ph: (830) 693-1792 | Milton W Shepperd, Do, Pa 113 Broadmoor St Meadowlakes TX 78654-6601 Ph: (830) 693-1792 |
| NPI Number | 1992035166 |
|---|---|
| Provider Enumeration Date | 01/11/2010 |
| Last Update Date | 01/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992035166 | NPI | - | NPPES |
| 176966301 | Medicaid | TX | |
| DG9173 | Other | RAILROAD MEDICARE | |
| 0068AA | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | J6722 (Texas) | Primary |
Milton W. Shepperd, Do, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 113 Broadmoor St, Meadowlakes, TX 78654 Phone: 830-693-1792 Fax: 830-693-1685 |