Shane David Statham is a family nurse practitioner in Wichita Falls, TX with 4 years of experience. Shane David Statham NPI is 1902422603. 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:
4327 BARNETT RD
WICHITA FALLS, TX
ZIP 76310-303
Phone: (940) 764-5350
Fax: (940) 764-5351
The NPI 1902422603 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/18/2020 and was last updated on 12/29/2023.