SHEPHERDS PEDIATRIC CARE
Ambulatory Health at Circle Way St, Richwood, TX

License number
Texas N6017
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. LONI LYNN SHEPHERD M.D.
Title: OWNER
Phone: (979) 297-3949
Address
Address
106 Circle Way St SUITE A, Richwood, TX 77566
National Provider ID: 1790108454
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Shepherd's Pediatric Care

106 Cir Way St, Richwood, TX 77566

Industry:
Medical Doctor's Office
Doing business as:
Shepherd's Pediatric Care, Pllc
Registration:
Dec 31, 2013
Phone:
(979) 297-3949 (Phone)
State ID:
801906029
Business type:
Domestic Limited Liability Company (LLC)
Managing Members:
Loni Shepehrd (Director, Managing Member),Loni Lynn Shepherd Managing Member, inactive
Categories:
Physicians & Surgeons

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