Individual
DR. JEFFREY MICHAEL SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
707 HOLLYBROOK DR, LONGVIEW, TX 75605-2410
(903) 291-6223
(903) 291-6222
Mailing address
707 HOLLYBROOK DR, LONGVIEW, TX 75605-2410
(903) 291-6223
(903) 291-6222
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
H6598
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
H6598
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110723708
—
TX
Enumeration date
01/24/2007
Last updated
01/24/2023
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