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Organization
JEFFREY M SHADLE MD PA
Active
Organization
JEFFREY M SHADLE MD PA
Active
Other names
Premier Healthcare of North Texas
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY M SHADLE MD (PRESIDENT/OWNER)
(972) 596-6400
Entity
Organization
Contact information
Practice address
4682 MCDERMOTT RD # 100, PLANO, TX 75024-7772
(972) 596-6400
(972) 867-4766
Mailing address
4682 MCDERMOTT RD # 100, PLANO, TX 75024-7772
(972) 596-6400
(972) 867-4766
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
11/18/2013
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