Mr Robert P Shackelford, MD | |
113 Airport Road, Suite 200, Sulphur Springs, TX 75482 | |
(903) 439-6302 | |
(903) 439-2765 |
Full Name | Mr Robert P Shackelford |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 113 Airport Road, Sulphur Springs, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578633236 | NPI | - | NPPES |
033213202 | Medicaid | TX | |
0053NG | Other | TX | BCBS |
033213203 | Medicaid | TX | |
4617433 | Other | TX | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | G0922 (Texas) | Primary |
Entity Name | Healogics Specialty Physicians Of Texas Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285051094 PECOS PAC ID: 6709002777 Enrollment ID: O20140728002064 |
Mailing Address | Practice Location Address |
---|---|
Mr Robert P Shackelford, MD Po Box 1367, Sulphur Springs, TX 75482 Ph: (903) 439-6302 | Mr Robert P Shackelford, MD 113 Airport Road, Suite 200, Sulphur Springs, TX 75482 Ph: (903) 439-6302 |
Richard Marshall Graves, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 113 Medical Cir, Sulphur Springs, TX 75482 Phone: 903-885-6688 | |
Christian Douthit, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 113 Medical Cir, Sulphur Springs, TX 75482 Phone: 903-885-6688 Fax: 903-951-1188 | |
Dr. Christopher Peter Meltsakos, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 103b Medical Cir, Sulphur Springs, TX 75482 Phone: 903-885-6688 |