Shepherd Rural Health Clinic Pa in Shepherd - Physician Assistant
Shepherd Rural Health Clinic Pa - NPI 1376629212
Shepherd Rural Health Clinic Pa is a Physician Assistant in Shepherd, Texas. Shepherd Rural Health Clinic Pa practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shepherd Rural Health Clinic Pa is 1376629212. The last update date is 2010-08-30.
Shepherd Rural Health Clinic Pa's current location address is Po Box 669, Shepherd, Texas. You can contact this provider via phone number 9366283343. The mailing address for Shepherd Rural Health Clinic Pa is Po Box 669, Shepherd, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shepherd Rural Health Clinic Pa |
|---|---|
| Address | Po Box 669, Shepherd, Texas |
| Phone Number | 9366283343 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Wisiackas R Philip |
| Credentials | MD |
| Telephone Number | 9366283343 |
NPI Number Detail
| NPI Number | 1376629212 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2010-08-30 |
Provider Mailing Address Detail
| Address | Po Box 669 |
|---|---|
| City | Shepherd |
| State | Texas (TX) |
| Post Code | 773710669 |
| Phone Number | 9366283343 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | F4703 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 130767003 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shepherd Rural Health Clinic Pa by the Centers for Medicare & Medicaid Services?
The Shepherd Rural Health Clinic Pa has been assigned the NPI (National Provider Identifier) 1376629212 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Shepherd Rural Health Clinic Pa is physically located?
The Shepherd Rural Health Clinic Pa is situated at the following address: Po Box 669, Shepherd, TX 773710669.
Could you please share the complete physical location address where Shepherd Rural Health Clinic Pa's facilities are situated?
The facilities of Shepherd Rural Health Clinic Pa are physically located at the following address: Po Box 669, Shepherd, TX, 773710669.
What is Shepherd Rural Health Clinic Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shepherd Rural Health Clinic Pa's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
As of what date was the information pertaining to Shepherd Rural Health Clinic Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shepherd Rural Health Clinic Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-08-30.
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