GREEN ISLAND HEALTH PLLC
Osteopathic Medicine at Sumac Rd, Fort Worth, TX

License number
Texas L5904
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. HEATHER P SHELTON MD
Title: PHYSICIAN MEMBER
Phone: (214) 557-8061
Address
Address
6450 Sumac Rd, Fort Worth, TX 76116
National Provider ID: 1154696169
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GREEN ISLAND HEALTH PLLC

Fort Worth, TX

Industry:
Health/Allied Services
Doing business as:
Green Island Health<br>Green Island Health Pllc
Registration:
Mar 9, 2012
Addresses:
6450 Sumac Rd, Fort Worth, TX 76116 (Mailing)
2800 S Hulen St, Fort Worth, TX 76109
State ID:
0801563403
Business type:
Domestic Limited Liability Company (LLC)
DIRECTOR, Director, President:
Heather P Shelton (DIRECTOR, Director, President), 2800 S Hulen St SUITE #203, Fort Worth, TX 76109
TIN:
32047291078

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