Individual
COREY SHEAPRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1124 WAVERLY DR, ARLINGTON, TX 76015-3548
(682) 232-9881
Mailing address
1124 WAVERLY DR, ARLINGTON, TX 76015-3548
(682) 232-9881
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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