Dr. Shelly Kristin Broline
Nuclear Medicine Specialist
7501 Fannin St
Houston
, Texas 77054-1938
Dr. Shelly Kristin Broline
Nuclear Medicine Specialist
7501 Fannin St
Houston
, Texas 77054-1938
(713) 446-2526
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Dr. Shelly Kristin Broline
- 8515 Haven Way
- Tomball, TX
- Zip : 77375-2652
- Phone : (713) 446-2526
Second Address
- Dr. Shelly Kristin Broline
- 7501 Fannin St
- Houston, TX
- Zip : 77054-1938
- Phone : (281) 674-8643
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine Specialist | L9112 | TX |
National Provider Identifier
| NPI | 1548265598 |
|---|---|
| Provider Name | Dr. Shelly Kristin Broline |
| First Address | Tomball, TX 77375-2652 |
| Second Address | Houston, TX 77054-1938 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2005 |
| Last Update Date | 07/07/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I18805 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.