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Individual
SHELLEY F CERISE
Active
Individual
SHELLEY F CERISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L2247
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7876395
AETNA PROVIDER NUMBER
TX
01
—
8R1740
BLUE CROSS INDIVIDUAL NUM
TX
Enumeration date
02/01/2007
Last updated
06/23/2026
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