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Contact Information

SHORE & ASSOCIATES PC
804 SPRING CREEK DR
TYLER, TX75703
 Phone: 903-939-8760
 Fax: 903-939-8760
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SHORE & ASSOCIATES PC

NPI # 1093982258
LBN Legal business name SHORE & ASSOCIATES PC
Authorized official ROBERT SHORE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/15/2008
Last updated 05/15/2008 - About 18 years ago
Identifiers
TN License # 24292
TX Medicaid 040822101
TX Medicaid 11601-160-01
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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