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Contact Information

SHELLY M HEIDELBAUGH, MD
1801 INWOOD RD
DALLAS, TX75390
 Phone: 214-645-7995
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SHELLY M HEIDELBAUGH · (Female)

NPI Number 1972545747
Status Active
Credentials MD
Entity Individual
Enumeration date 06/13/2006
Last updated 12/12/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A66962
  • TX License # Q8260
  • CA Medicaid 00A669620
Hospital affiliation(s)
  • MEDICAL CITY DALLAS HOSPITAL - (Acute Care)
    7777 FOREST LANE
    DALLAS, TX 75230
  • TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS - (Acute Care)
    8200 WALNUT HILL LANE
    DALLAS, TX 75231
  • UT SOUTHWESTERN UNIVERSITY HOSPITAL - (Acute Care)
    5909 HARRY HINES BLVD
    DALLAS, TX 75390
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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