Individual
DR. HELEN ANN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3501 N 19TH ST, WACO, TX 76708-2007
(254) 745-5105
Mailing address
3501 N 19TH ST, WACO, TX 76708-2007
(254) 745-5105
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K0196
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81M309
—
TX
Enumeration date
12/07/2006
Last updated
07/08/2007
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