Organization
GREEN ISLAND HEALTH PLLC
Active
Other names
Green Island Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER P SHELTON MD (PHYSICIAN MEMBER)
(214) 557-8061
Entity
Organization
Contact information
Practice address
6450 SUMAC RD, FORT WORTH, TX 76116-8131
(214) 557-8061
(817) 732-4939
Mailing address
6450 SUMAC RD, FORT WORTH, TX 76116-8131
(214) 557-8061
(817) 732-4939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L5904
TX
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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