Individual
DARRYL SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPT
Contact information
Practice address
5000 SAVOY CT APT 403, FORT WORTH, TX 76133-6523
(682) 444-8786
Mailing address
5000 SAVOY CT APT 403, FORT WORTH, TX 76133-6523
(682) 444-8786
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
M9A6Y2E8
TX
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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