SHANE T SEROYER MD PA
Medical Practice at Mayfield Rd, Arlington, TX

License number
Texas N1887
Category
Medical Practice
Type
Sports Medicine
Owner
Name: SHANE THOMAS SEROYER MD
Title: PRESIDENT
Phone: (817) 419-0303
Address
Address
515 W Mayfield Rd STE 116, Arlington, TX 76014
National Provider ID: 1902187701
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SHANE T. SEROYER, M.D., PA

Arlington, TX

Registration:
Aug 12, 2011
Addresses:
3533 Matlock Rd, Arlington, TX 76015 (Mailing)
515 W Mayfield Rd, Arlington, TX 76014
State ID:
0801465936
Business type:
Professional Association
Director, Member, President:
Shane T. Seroyer (Director, Member, President)
Agent:
Shane T Seroyer,3533 Matlock Rd, Arlington, TX 76015 (Physical)
TIN:
32044852609

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