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JUSTIN SHIELDS NPI 1205247582


NPI Information

NPI: 1205247582
Provider Name: JUSTIN SHIELDS
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
307 E OVILLA RD
SUITE # 100
RED OAK, TX
ZIP 75154
Phone: (972) 576-2920
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Justin Shields is a specialist in Red Oak, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Justin Shields NPI is 1205247582. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

307 E OVILLA RD
SUITE # 100
RED OAK, TX
ZIP 75154-898
Phone: (972) 576-2920
Fax: (972) 617-3930

The enumeration date for this NPI number is 5/8/2014 and was last updated on 5/8/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist1232407TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.