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Individual

BRIAN SHIPLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 553-0686
Mailing address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101259832
VA
207RC0000X
Cardiovascular Disease Physician
Primary
T1558
TX
208M00000X
Hospitalist Physician
0101259832
VA

Other

Enumeration date
04/14/2014
Last updated
07/02/2024
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