Organization
JOHN P SHEA MD PA
Active
Other names
Shea Ear, Nose & Throat Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P SHEA MD (OWNER)
(817) 551-1010
Entity
Organization
Contact information
Practice address
11797 SOUTH I-35 W, # 132, BURLESON, TX 76028-7035
(817) 551-1010
(817) 551-0662
Mailing address
11797 SOUTH I-35 W, # 132, BURLESON, TX 76028-7035
(817) 551-1010
(817) 551-0662
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
E2857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123528502
—
TX
Enumeration date
03/28/2007
Last updated
04/25/2008
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