Individual
DR. KELLY NATHAN SHORTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10125 KATY FWY STE 106, HOUSTON, TX 77024-1287
(713) 464-6000
Mailing address
909 FROSTWOOD DR STE 1.100, HOUSTON, TX 77024-2301
(713) 338-5519
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
S8915
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/27/2016
Last updated
08/19/2021
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