Doctor Name: | DR. VERNON C. SHAFFER |
NPI Number: | 1265419030 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G6012 |
Business Practice Address: | 2604 Saint Michael Dr Suite 410 Texarkana, TX - 755032379 |
Business Phone Number: | 9036145430 |
Business Fax Number: | 9036145464 |
Mailing Address: | 919 Hidden Rdg, 6th Floor IRVING |
State: | TX |
Postal Code: | 750383813 |
Phone Number: | 4692822625 |
Fax Number: | 4692822655 |
NPI Enumeration Date: | 12/22/2005 |
NPI Last Update Date: | 05/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | G6012 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |