# SHELIA DENISE BRISCOE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588788848
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | G7397 | TX | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 01/29/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0088RQ | CORPORATE BCBS GROUP NUMBER | TX |
| 01 | — | 0A3548 | CORPORATE GROUP MEDICARE PTAN | TX |
| 01 | — | 8BP150 | CORPORATE BCBS INDIVIDUAL NUMBER | TX |
| 01 | — | 8F20866 | CORPORATE INDIVIDUAL MEDICARE PTAN | TX |