Individual
GARRETT LEE SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3150 APPALOOSA CIR, SAN ANGELO, TX 76901-5225
(325) 658-1511
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9422
AZ
363A00000X
Physician Assistant
Primary
PA14215
TX
Other
Enumeration date
01/22/2021
Last updated
08/11/2023
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