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Individual

SHAUNA W DEPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4002 LOUETTA ROAD, SPRING, TX 77388-4405
(281) 444-1770
(281) 444-4739
Mailing address
7805 ODELL ST, NORTH RICHLAND HILLS, TX 76182-3961
(951) 294-1078

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L4839
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
174312203
TX
05
174312204
TX
05
174312205
TX
01
8CA788
BCBS
TX
Enumeration date
06/30/2005
Last updated
03/27/2025
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