Individual
SHAUNTELE L HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13740 MIDWAY RD STE 524, FARMERS BRANCH, TX 75244-4480
(972) 286-3537
Mailing address
13740 MIDWAY RD STE 524, FARMERS BRANCH, TX 75244-4480
(972) 286-3537
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043714678
NPI
TX
Enumeration date
05/14/2019
Last updated
06/11/2019
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