Organization
DOC D MEDICAL CONSULTING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY SHEA (CREDENTIALING SPECIALIST)
(817) 484-6274
Entity
Organization
Contact information
Practice address
6913 CAMP BOWIE BLVD STE 107, FORT WORTH, TX 76116-7164
(817) 367-9289
(817) 382-5217
Mailing address
6913 CAMP BOWIE BLVD STE 107, FORT WORTH, TX 76116-7164
(817) 367-9289
(817) 382-5217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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