person
Shane David Statham
Student in an Organized Health Care Education/Training Program in Wichita Falls, Texas
NPI 1902422603

Shane David Statham is a Student in an Organized Health Care Education/Training Program based in Wichita Falls, TX. Shane David Statham practices in Wichita Falls, TX. The NPI Number for Shane David Statham is 1902422603 and holds a License No. 1017571 (Texas).

The current practice location address for Shane David Statham is 4327 Barnett Rd, Wichita Falls, TX and can be reached out via phone at 940-764-5350 and via fax at 940-764-5351.

Location: 4327 Barnett Rd, Wichita Falls, TX, 76308-9261
person
Provider Profile Details
NPI Number
1902422603
Provider Name
Shane David Statham
Credential
Provider Entity Type
Individual
Gender
Male
Address
4327 Barnett Rd, Wichita Falls, TX, 76308-9261
Phone Number
940-764-5350
Fax Number
940-764-5351
Provider Enumeration Date
06/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4327 Barnett Rd
City
State
Zip
76310-2303
Phone Number
940-764-5350
Fax Number
940-764-5351
person
Provider Business Mailing Address Details
Address
4327 Barnett Rd
City
State
Zip
76310-2303
Phone Number
940-764-5350
Fax Number
940-764-5351
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
1017571 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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