Individual
SHAILESH C VORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
2508 SAM SCHOOL RD, SOUTHLAKE, TX 76092-1492
(870) 918-7399
Mailing address
2508 SAM SCHOOL RD, SOUTHLAKE, TX 76092-1492
(870) 918-7399
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
L6703
TX
2084N0400X
Neurology Physician
R-3612
AR
2084P0800X
Psychiatry Physician
Primary
L6703
TX
2084P0800X
Psychiatry Physician
R-3612
AR
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
L6703
TX
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
R-3612
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112470001
—
AR
Enumeration date
02/07/2006
Last updated
02/03/2020
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