Organization
FIRST PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL VISE SHELTON MD (OWNER)
(432) 552-5656
Entity
Organization
Contact information
Practice address
4222 WENDOVER AVE STE 600, ODESSA, TX 79762-5983
(432) 552-5656
(866) 730-6998
Mailing address
4222 WENDOVER AVE, SUITE 600, ODESSA, TX 79762-5945
(432) 552-5656
(432) 552-0992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008DU
GROUP BCBS
TX
05
—
080469201
—
TX
Enumeration date
07/08/2006
Last updated
04/25/2024
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