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Jimmy Shupe, HIS
NPI 1699187534 · on the registry since 2014
Practice
- Address
- 4746 S Broadway Ave
Tyler, TX 75703 - Phone
- (903) 561-8774
- Fax
- (903) 561-8787
- Organisation at this address
- Metx, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-02-20
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