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Cynthia J Shepherd, PA-C
Urology Physician in Tyler, Texas
NPI 1346349297

Cynthia J Shepherd is a Urology Physician based in Dallas, TX. Cynthia J Shepherd practices in Tyler, TX and has the professional credentials of PA-C. The NPI Number for Cynthia J Shepherd is 1346349297 and holds a License No. (Texas).

The current practice location address for Cynthia J Shepherd is 5414 S Broadway, Tyler, TX and can be reached out via phone at 903-581-1601.

Location: 5414 S Broadway, Tyler, TX, 75284-1656
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346349297
Provider Name
Cynthia J Shepherd
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
5414 S Broadway, Tyler, TX, 75284-1656
Phone Number
903-581-1601
Fax Number
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
75-0818167-015 01 TX TRICARE
298380104 05 TX
75-2616977-001 01 TX TRICARE
87N530 01 TX BCBS
P01762496 01 TX RAIL ROAD MEDICARE
75-0818167-044 01 TX TRICARE
75-2616977-002 01 TX TRICARE
75-2616977-028 01 TX TRICARE
P01761917 01 TX RAIL ROAD MEDICARE
75-2616977-129 01 TX TRICARE
298380106 05 TX
298380105 05 TX
75-0818167-022 01 TX TRICARE
75-0818167-048 01 TX TRICARE
298380107 05 TX
75-1976930-005 01 TX TRICARE
institution
Provider Business Practice Location Address Details
Address
5414 S Broadway
City
Tyler
State
Texas
Zip
75703-1335
Phone Number
903-581-1601
Fax Number
person
Provider Business Mailing Address Details
Address
5414 S Broadway
City
Tyler
State
Texas
Zip
75703-1335
Phone Number
903-581-1601
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
PA00873 (Texas)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
PA00873 (Texas)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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