| Timothy S. Shepherd Md Pa | |
|
314 W Main St Lewisville TX 75057-3866 | |
| (972) 420-8777 | |
| Not Available |
| Full Name | Timothy S. Shepherd Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 314 W Main St, Lewisville, Texas |
| Authorized Official Name and Position | Timothy S Shepherd (OWNER) |
| Authorized Official Contact | 9724208777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy S. Shepherd Md Pa 314 W Main St Lewisville TX 75057-3866 Ph: (972) 420-8777 | Timothy S. Shepherd Md Pa 314 W Main St Lewisville TX 75057-3866 Ph: (972) 420-8777 |
| NPI Number | 1780836452 |
|---|---|
| Provider Enumeration Date | 10/14/2008 |
| Last Update Date | 04/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780836452 | NPI | - | NPPES |
| 00DQ67 | Other | TX | BLUE CROSS |
| DP4526 | Other | TX | RAILROAD MEDICARE |
| 202610601 | Medicaid | TX | |
| B26392 | Other | TX | COMMERCIAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F4518 (Texas) | Primary |
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