Individual
DR. ERIC NATHANAEL SHUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1341 W MOCKINGBIRD LN, DALLAS, TX 75247-6913
(214) 456-7700
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-4319
(214) 645-8898
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
S2379
TX
2084P0804X
Child & Adolescent Psychiatry Physician
S2679
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403623801
—
TX
Enumeration date
03/19/2013
Last updated
06/18/2024
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