Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 1320096 | TX |
NPI | 1003476151 |
---|---|
Provider Name | Dr. Bryan Sheffield |
First Address | Dallas, TX 75214-6339 |
Second Address | Dallas, TX 75214-6339 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2019 |
Last Update Date | 14/09/2019 |