Individual
SHELBY A SEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
2700 WOODLAND RD APT 507, TEXARKANA, AR 71854-3316
(903) 733-7114
(888) 329-6432
Mailing address
2700 WOODLAND RD APT 507, TEXARKANA, AR 71854-3316
(903) 733-7114
(888) 329-6432
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
611121
TX
Other
Enumeration date
10/22/2012
Last updated
07/13/2016
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