Individual
DR. VERNON C. SHAFFER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2604 SAINT MICHAEL DR, SUITE 410, TEXARKANA, TX 75503-2379
(903) 614-5430
(903) 614-5464
Mailing address
919 HIDDEN RDG, 6TH FLOOR, IRVING, TX 75038-3813
(469) 282-2711
(469) 282-0996
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G6012
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110879001
—
AR
05
—
124647202
—
TX
05
—
124647205
—
TX
Enumeration date
12/22/2005
Last updated
01/02/2017
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