Search › Texas › 172A00000X

Shantwan Humphrey

NPI 1356049910 · on the registry since 2023 · sole proprietor

Practice

Address
5901 N Macarthur Blvd # 1421
Irving, TX 75039
Phone
(214) 664-7058
Organisation at this address
Fareshare Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-22

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