Individual
NIKKI SHANDELL FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7235 BOAT CLUB RD, FT WORTH, TX 76179-4555
(817) 677-9535
(817) 677-9536
Mailing address
7235 BOAT CLUB RD, FORT WORTH, TX 76179-4555
(817) 677-9535
(817) 677-9536
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
51010179876
MI
208VP0000X
Pain Medicine Physician
Primary
P8131
TX
Other
Enumeration date
08/16/2010
Last updated
09/27/2021
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