SearchTexasPhysician Assistant

Shane Kelleher, PA-C

NPI 1003273939 · on the registry since 2016

Practice

Address
1500 Cooper St
Fort Worth, TX 76104
Phone
(682) 885-7840
Fax
(682) 885-7856
Organisation at this address
Cook Children'S Medical Center
Cook Children'S Medical Center
Cook Children'S Medical Center
Cook Children'S Medical Center
Cook Children'S Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
435

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Also registered as
Physician Assistant
Licence states on file
OK, TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-08-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas