Individual
DAVID L SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 W I 20 STE 1, ARLINGTON, TX 76017-5851
(817) 784-8268
(817) 417-1150
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(817) 784-8268
(817) 259-1004
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
K4242
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117785904
—
TX
05
—
117785905
—
TX
05
—
117785906
—
TX
05
—
117785907
—
TX
01
—
117785908
MEDICAID OTHER
TX
05
—
117785909
—
TX
Enumeration date
12/29/2005
Last updated
02/27/2025
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