Individual
MR. JIMMY MAURICE SHUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
4746 S BROADWAY AVE, TYLER, TX 75703-1308
(903) 561-8774
(903) 561-8787
Mailing address
4746 S BROADWAY AVE, TYLER, TX 75703-1308
(903) 561-8774
(903) 561-8787
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
50685
TX
Other
Enumeration date
05/27/2014
Last updated
02/20/2015
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