Individual
DR. JAMES ROBERT SHEPHERD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 847408, DALLAS, TX 75284-7408
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
E8906
TX
2085R0202X
Diagnostic Radiology Physician
Primary
E8906
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1327660-08
—
TX
01
—
1327660-09
CSHCN
TX
01
—
8H8613
BLUE SHIELD
TX
01
—
P00010198
RR/MEDICARE
TX
Enumeration date
04/03/2006
Last updated
11/19/2012
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