Organization
SHEPHERDS PEDIATRIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONI LYNN SHEPHERD M.D. (OWNER)
(979) 297-3949
Entity
Organization
Contact information
Practice address
106 CIRCLE WAY ST, SUITE A, LAKE JACKSON, TX 77566-5202
(979) 297-3949
(979) 297-3919
Mailing address
106 CIRCLE WAY ST, SUITE A, LAKE JACKSON, TX 77566-5202
(979) 297-3949
(979) 297-3919
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
N6017
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214871001
—
TX
Enumeration date
01/30/2014
Last updated
03/10/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us