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Individual

DR. MILTON WIRTZ SHEPPERD

Active
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Individual

DR. MILTON WIRTZ SHEPPERD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
J6722
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
J6722
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0068AA
BLUE CROSS BLUE SHIELD
TX
01
110141641
RAILROAD MEDICARE
TX
05
113654104
TX
05
113654105
TX
Enumeration date
11/11/2006
Last updated
05/05/2009
Update your record

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