Individual
DR. KURTE WALLY SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4501 CARTWRIGHT RD, SUITE 208, MISSOURI CITY, TX 77459-3534
(832) 539-1620
(832) 539-1621
Mailing address
10223 BROADWAY ST STE P246, PEARLAND, TX 77584-7880
(832) 539-1620
(832) 539-1621
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1563
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035HW
BCBS
—
05
—
1529075002
—
TX
01
—
5143640001
DMERC
—
Enumeration date
05/03/2006
Last updated
02/20/2009
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