Individual
ANTWAIN SHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3334 BEDFORD FORREST DR, MISSOURI CITY, TX 77459-4903
(832) 754-4838
Mailing address
3334 BEDFORD FORREST DR, MISSOURI CITY, TX 77459-4903
(832) 754-4838
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
208610
TX
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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