Michael Vise Shelton in Odessa - Family Medicine
Michael Vise Shelton - NPI 1003810995
Michael Vise Shelton is a Family Medicine in Odessa, Texas. Michael Vise Shelton practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Michael Vise Shelton is 1003810995. The last update date is 2010-07-20.
Michael Vise Shelton's current location address is 4222 Wendover Ave, Odessa, Texas. You can contact this provider via phone number 4325525656 and fax number 4325520992. The mailing address for Michael Vise Shelton is 4222 Wendover Ave, Odessa, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Vise Shelton |
|---|---|
| Address | 4222 Wendover Ave, Odessa, Texas |
| Phone Number | 4325525656 |
| Fax Number | 4325520992 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1003810995 |
|---|---|
| Provider Enumeration Date | 2005-06-08 |
| Last Updated Date | 2010-07-20 |
Provider Mailing Address Detail
| Address | 4222 Wendover Ave |
|---|---|
| City | Odessa |
| State | Texas (TX) |
| Post Code | 7976259830 |
| Phone Number | 4325525656 |
| Fax Number | 4325520992 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | E8905 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 89030X | TX | BLUE CROSS/BLUE SHIELD | |
| 133690105 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Michael Vise Shelton?
The Michael Vise Shelton has been issued the NPI (National Provider Identifier) 1003810995 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Michael Vise Shelton is located?
The Michael Vise Shelton is situated at the following address: 4222 Wendover Ave, Odessa, TX, 7976259830.
What is Michael Vise Shelton's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael Vise Shelton is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003810995 to Michael Vise Shelton?
The Centers for Medicare & Medicaid Services assigned the 1003810995 to Michael Vise Shelton on 2005-06-08.
When was the information regarding Michael Vise Shelton, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Michael Vise Shelton, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-07-20.