Individual
DR. PETER MCINTYRE SHEDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
J1040
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136244401
—
TX
01
—
4266316
AETNA
TX
01
—
84021B
BCBS #
TX
01
—
J1040
STATE LICENSE
TX
Enumeration date
02/03/2006
Last updated
03/02/2026
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