Individual
ANNALA J. SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
721 CLINIC DR, STE A, TYLER, TX 75701-2043
(903) 595-7014
(903) 526-0629
Mailing address
PO BOX 731912, DALLAS, TX 75373-1912
(903) 877-7635
(903) 877-7754
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP133662
TX
Other
Enumeration date
03/22/2017
Last updated
07/18/2019
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