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Individual

SHAUN RYAN WESLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1400 S COULTER ST, SUITE 5100, AMARILLO, TX 79106-1786
(806) 414-9559
(806) 351-3765
Mailing address
1400 S COULTER ST STE 3500, AMARILLO, TX 79106-1786
(806) 414-9650
(806) 354-5730

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
314929
NY
207V00000X
Obstetrics & Gynecology Physician
T9280
TX
207VM0101X
Maternal & Fetal Medicine Physician
Primary
T9280
TX
363AS0400X
Surgical Physician Assistant
314929
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/07/2017
Last updated
11/13/2025
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