Individual
DR. JANE KANA SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 WILDFLOWER LN, GEORGETOWN, TX 78626-1959
(512) 342-0455
(512) 342-0460
Mailing address
600 WILDFLOWER LN, GEORGETOWN, TX 78626-1959
(512) 342-0455
(512) 342-0460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G8556
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136606413
—
TX
Enumeration date
06/09/2005
Last updated
02/01/2013
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