Individual
SHENA DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 922-4532
(817) 922-4553
Mailing address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 922-4532
(817) 922-4553
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
P9836
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341682801
—
TX
Enumeration date
04/01/2010
Last updated
10/14/2021
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