Marty W Shields
Surgeon Family Doctor Vascular Surgeon
3601 Sw 160th Ave Suite 250
Miramar
, Florida 33027-6308
Marty W Shields
Surgeon Family Doctor Vascular Surgeon
3601 Sw 160th Ave Suite 250
Miramar
, Florida 33027-6308
(806) 356-4673
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About
Features
Specialties
- Family Doctor
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Marty W Shields
- 1400 Wallace Blvd Attn: Credentialing
- Amarillo, TX
- Zip : 79106-1708
- Fax : (806) 356-4673
- Phone : (806) 354-5585
Second Address
- Marty W Shields
- 3601 Sw 160th Ave Suite 250
- Miramar, FL
- Zip : 33027-6308
- Fax : (855) 855-2792
- Phone : (954) 399-4645
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FAQs
Where did Marty W Shields attend graduate school?
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What type of doctor is Marty W Shields
In what state does Marty W Shields practice in?
Where is Marty W Shields ’s practice located?
What is Marty W Shields ’s gender?
Is Marty W Shields a sole practitioner?
Is Marty W Shields accepting new patients?
What languages does Marty W Shields speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | H0814 | TX |
| N | 208200000X | Surgeon | H0814 | TX |
| N | 208600000X | Surgeon | H0814 | TX |
| N | 2086S0129X | Vascular Surgeon | H 0814 | TX |
National Provider Identifier
| NPI | 1053469361 |
|---|---|
| Provider Name | Marty W Shields |
| First Address | Amarillo, TX 79106-1708 |
| Second Address | Miramar, FL 33027-6308 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/01/2007 |
| Last Update Date | 12/10/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 038142802 | (05) | TX |
| 200234310 A | (05) | OK |
| 47924772 | (05) | NM |
| G13031 | (02) | TX |
| PO80T6168 | (05) | 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.