Organization Name: | SHELBY FAMILY CLINIC |
NPI Number: | 1386984508 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FLORENCIO SINGSON (OWNER) |
Mailing Address: | 602 Hurst St Suite 3 Center |
State: | TX US |
Postal Code: | 759353414 |
Phone Number: | 9365982933 |
Fax Number: | |
NPI Enumeration Date: | 02/25/2013 |
NPI Last Update Date: | 02/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | G4713 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |