Individual
JOYCE M SHOTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3801 GASTON AVE, SUITE 250, DALLAS, TX 75246-1541
(214) 824-4412
(214) 824-4431
Mailing address
3801 GASTON AVE, SUITE 250, DALLAS, TX 75246-1541
(214) 824-4412
(214) 824-4431
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F4525
TX
207RP1001X
Pulmonary Disease Physician
F4525
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
F4525
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0069EY
BCBS
TX
05
—
120108905
—
TX
Enumeration date
05/27/2005
Last updated
01/02/2015
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