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Individual

DR. SHELBY A WYLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1626 FOREST LANE, SUITE C, GARLAND, TX 75042
(972) 494-1451
(972) 494-2105
Mailing address
1626 FOREST LANE, SUITE C, GARLAND, TX 75042
(972) 494-1451
(972) 494-2105

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D5258
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113485004
TX
Enumeration date
05/24/2005
Last updated
04/06/2011
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