Individual
DOUGLAS R SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 MEDI PARK DR STE 6, AMARILLO, TX 79106-2105
(806) 359-9820
(806) 359-7627
Mailing address
PO BOX 51440, AMARILLO, TX 79159-1440
(806) 355-9595
(806) 353-1589
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J2325
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142700702
—
TX
01
—
160056104
RR MEDICARE
GA
Enumeration date
06/02/2006
Last updated
06/16/2015
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