Organization
PATRICK W. SHOVLIN III, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK W. SHOVLIN III MD (PRESIDENT)
(972) 219-6800
Entity
Organization
Contact information
Practice address
4300 WINDSOR CENTRE TRL, SUITE 400, FLOWER MOUND, TX 75028-1862
(972) 219-6800
(972) 219-0053
Mailing address
4300 WINDSOR CENTRE TRL, SUITE 400, FLOWER MOUND, TX 75028-1862
(972) 219-6800
(972) 219-0053
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J6725
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127580201
—
TX
Enumeration date
06/21/2011
Last updated
06/21/2011
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