Individual
HERBERT D SHORT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 EAST HOUSTON, STE 530, TYLER, TX 75702-8366
(903) 525-2992
Mailing address
PO BOX 5500, TYLER, TX 75712-5500
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
E1941
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134247909
—
TX
Enumeration date
08/08/2006
Last updated
12/09/2008
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