SHELLY A WEATHERFORD

TEMPLE, TX
NPI1326324013
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA08556)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NM  PA2011-0048)
Enumeration Date2011-10-26
Last Update Date2015-05-04
Business Address
-- SHELLY A WEATHERFORD PA
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 214-336-2860
Mailing Address
-- SHELLY A WEATHERFORD PA
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: