Individual
GARY J SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7777 SOUTHWEST FWY, SUITE 620, HOUSTON, TX 77074-1802
(713) 777-3000
(713) 774-2209
Mailing address
7777 SOUTHWEST FWY, SUITE 620, HOUSTON, TX 77074-1802
(713) 777-3000
(713) 774-2209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J2326
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104556902
—
TX
01
—
110191055
RAILROAD MEDICARE NUMBER
TX
Enumeration date
01/12/2006
Last updated
01/12/2011
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