Shelly M Harvey
Allergist & Immunologist
600 S Main St
Fort Worth
, Texas 76104
Shelly M Harvey
Allergist & Immunologist
600 S Main St
Fort Worth
, Texas 76104
(972) 566-8837
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Shelly M Harvey
- Po Box 845347
- Dallas, TX
- Zip : 75284-7208
- Fax : (972) 566-8837
- Phone : (817) 882-2400
Second Address
- Shelly M Harvey
- 600 S Main St
- Fort Worth, TX
- Zip : 76104
- Phone : (817) 882-2400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | L4428 | TX |
National Provider Identifier
| NPI | 1255325403 |
|---|---|
| Provider Name | Shelly M Harvey |
| First Address | Dallas, TX 75284-7208 |
| Second Address | Fort Worth, TX 76104 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/09/2005 |
| Last Update Date | 30/05/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1582256-01 | (05) | TX |
| 1741256 | (05) | LA |
| 200032380A | (05) | OK |
| 8A9171 | BCBS (01) | |
| H81644 | (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.