Individual
DAVID ALLEN SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
25 HIGHLAND PARK VLG, SUITE 100765, DALLAS, TX 75205-2789
(214) 707-0695
(214) 572-7392
Mailing address
4901 RAVENSTHORPE DR, PARKER, TX 75002-5547
(972) 442-9743
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024127218
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP118498
TX
367500000X
Certified Registered Nurse Anesthetist
ARNP 9178159
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00920422A
—
GA
05
—
304001600
—
FL
01
—
G3089
FL BLUECROSS & BLUESHIELD
FL
Enumeration date
01/20/2006
Last updated
04/19/2017
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