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Shelwyn Shackleford

NPI 1962110999 · on the registry since 2022 · sole proprietor

Practice

Address
14011 Catina Ln
Houston, TX 77045
Phone
(832) 545-0562

Registry record

Primary taxonomy
347C00000X
347C00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-11-08

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