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Individual

PAUL GREGORY SHUPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10125 KATY FWY STE 100, HOUSTON, TX 77024-1287
(713) 486-1700
(713) 467-6682
Mailing address
6400 FANNIN ST STE 1700, HOUSTON, TX 77030-1526
(713) 486-1700

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
Q3966
TX
2083A0100X
Aerospace Medicine Physician
0101236844
VA

Other

Enumeration date
03/17/2006
Last updated
10/10/2018
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