Individual
MICHAEL WILLIAM SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 N OREGON ST, EL PASO, TX 79902-3320
(915) 873-7719
Mailing address
PO BOX 962545, EL PASO, TX 79996-2545
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
846214
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
1174138
TX
Other
Enumeration date
02/13/2023
Last updated
09/13/2024
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