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Individual
DR. TIM SHEPHERD
Active
Individual
DR. TIM SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F4518
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00DQ67
BLUE CROSS
TX
05
—
114490905
—
TX
01
—
B26392
COMMERCIAL
TX
01
—
P00822864
RAILROAD MEDICARE
TX
Enumeration date
06/22/2005
Last updated
08/03/2018
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