Individual
DR. SHANE T SEROYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3533 MATLOCK ROAD, ARLINGTON, TX 76015-3604
(817) 419-0303
(817) 468-5963
Mailing address
3533 MATLOCK ROAD, ARLINGTON, TX 76015-3604
(817) 419-0303
(817) 468-5963
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
N1887
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
N1887
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204613801
—
TX
Enumeration date
06/06/2007
Last updated
10/04/2023
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