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Individual

DR. JAMES GRANT SHUPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6404 INTERNATIONAL PKWY, SUITE 2100, PLANO, TX 75093-8225
(972) 267-1988
(972) 267-3434
Mailing address
6404 INTERNATIONAL PKWY, SUITE 2100, PLANO, TX 75093-8225
(972) 267-1988
(972) 267-3434

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
H6605
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
H6605
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128517305
TX
Enumeration date
12/05/2006
Last updated
02/10/2010
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