Shelby Shao, DC | |
10761 Founders Way, Fort Worth, TX 76177-1574 | |
(469) 540-7158 | |
Not Available |
Full Name | Shelby Shao |
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Gender | Female |
Speciality | Chiropractor |
Location | 10761 Founders Way, Fort Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467287649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 15546 (Texas) | Primary |
Provider Name | Lifeclinic Chiropractic Of Texas Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417347899 PECOS PAC ID: 6002121027 Enrollment ID: O20150819007977 |
Mailing Address | Practice Location Address |
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Shelby Shao, DC 4040 N Hall St Apt 211, Dallas, TX 75219-3685 Ph: (682) 438-2397 | Shelby Shao, DC 10761 Founders Way, Fort Worth, TX 76177-1574 Ph: (469) 540-7158 |
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