person
Ms. Shelly Margaret States, PA
Medical Physician Assistant in Liberty, Texas
NPI 1407094667

Shelly Margaret States is a Medical Physician Assistant based in Richmond, TX and is specialized in Medical. Shelly Margaret States practices in Liberty, TX and has the professional credentials of PA. The NPI Number for Shelly Margaret States is 1407094667 and holds a License No. PA02525 (Texas).

The current practice location address for Shelly Margaret States is 1353 N Travis St, Liberty, TX and can be reached out via phone at 832-397-9283.

Location: 1353 N Travis St, Liberty, TX, 77406-5259
person
Provider Profile Details
NPI Number
1407094667
Provider Name
Shelly Margaret States
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1353 N Travis St, Liberty, TX, 77406-5259
Phone Number
832-397-9283
Fax Number
Provider Enumeration Date
01/27/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA02525 01 TX PHYSICIAN ASSISTANT LICENSE
institution
Provider Business Practice Location Address Details
Address
1353 N Travis St
City
State
Zip
77575-3549
Phone Number
832-397-9283
Fax Number
person
Provider Business Mailing Address Details
Address
1353 N Travis St
City
State
Zip
77575-3549
Phone Number
832-397-9283
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA02525 (Texas)
Definition
Definition to come...
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