Organization
ROBERT P SHACKELFORD MD
Active
Other names
Sulphur Springs Orthopedic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY SHACKELFORD RN (OFFICE MANAGER)
(903) 439-6302
Entity
Organization
Contact information
Practice address
113 MEDICAL CIR, SULPHUR SPRINGS, TX 75482-2138
(903) 439-6302
(903) 439-2765
Mailing address
113 MEDICAL CIR, SULPHUR SPRINGS, TX 75482-2138
(903) 439-6302
(903) 439-2765
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
G0922
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0657500001
CIGNA GOVERNMENT SERVICES
TX
Enumeration date
03/27/2008
Last updated
06/16/2008
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