Individual
EBONY SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75235
(214) 930-3732
Mailing address
6201 HARRY HINES BLVD, DALLAS, TX 75235
(214) 930-3732
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1100513
TX
Other
Enumeration date
12/14/2022
Last updated
08/28/2023
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