Individual
MR. MICHAEL SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4007 MERIDIAN, HOUSTON, TX 77017
(832) 977-8632
Mailing address
4007 MERIDIAN, HOUSTON, TX 77017
(832) 977-8632
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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