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Individual

DR. SHELEIKA LINETTE HERVEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
22489
WV
2085R0202X
Diagnostic Radiology Physician
Primary
4301104262
MI
2085R0202X
Diagnostic Radiology Physician
N3726
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1386842292
BLUE CROSS BLUE SHIELD
TX
05
214498201
TX
05
214498202
TX
Enumeration date
07/03/2007
Last updated
10/29/2024
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