Organization
JEFFREY M. SHEA, MD, PA
Active
Other names
Pulmonary - Critical Care Associates of East Texas
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY MICHAEL SHEA MD (OWNER)
(903) 758-1464
Entity
Organization
Contact information
Practice address
709 HOLLYBROOK DR, SUITE 3400, LONGVIEW, TX 75605-2411
(903) 758-1464
(903) 758-4366
Mailing address
709 HOLLYBROOK DR, SUITE 3400, LONGVIEW, TX 75605-2411
(903) 758-1464
(903) 758-4366
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027LZ
BLUE CROSS GROUP NUMBER
TX
05
—
110723703
—
TX
Enumeration date
04/20/2007
Last updated
09/25/2013
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