Individual
DR. JOSEPH HOUSTON SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 W MAGNOLIA AVE, STE 100, FORT WORTH, TX 76104-8517
(817) 870-7300
(817) 335-9529
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2200
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
L3472
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160615403
—
TX
01
—
8GF830
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/07/2005
Last updated
02/20/2017
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