Individual
BINEETA SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 S CLEAR CREEK RD, KILLEEN, TX 76549-4110
(254) 526-7523
Mailing address
616 TRAILSIDE BND, ROUND ROCK, TX 78665-2114
(571) 214-8691
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP129524
TX
Other
Enumeration date
10/23/2015
Last updated
07/25/2016
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