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Imisha Shelton

NPI 1548021371 · on the registry since 2024

Practice

Address
1285 Longleaf Dr
Cedar Hill, TX 75104
Phone
(214) 296-7122

Registry record

Primary taxonomy
374K00000X
374K00000X
Also registered as
101YP1600X
106S00000X
133N00000X
133NN1002X
171400000X
171M00000X
175T00000X
372500000X
372600000X
374U00000X
171W00000X
172A00000X
175L00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas