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Contact Information

ROBERT P SHACKELFORD, MD
113 AIRPORT ROAD
SUITE 200
SULPHUR SPRINGS, TX75482
 Phone: 903-439-6302
 Fax: 903-439-2765
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ROBERT P SHACKELFORD · (Male)

NPI # 1578633236
Status Active
Credentials MD
Entity Individual
Enumeration date 11/09/2006
Last updated 12/04/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • TX License # G0922
  • TX Medicaid 033213202
  • TX Medicaid 033213203
  • TX Other 4617433 AETNA
  • TX Other 0053NG BCBS
Hospital affiliation(s) Not Available
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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