Sherrette B Shaw-fontenot


Address: 1419 9th St, Wichita Falls, TX 76301-4302

Sherrette B Shaw-fontenot (NPI# 1487748273, PAC ID# 1557550621) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1487748273
PAC ID by PECOS 1557550621
Professional Enrollment ID I20110106000150
Full Name Sherrette B Shaw-fontenot
Address 1419 9th St
Wichita Falls
TX 76301-4302
Gender F
Medical School LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year 1994
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450010 UNITED REGIONAL HEALTH CARE SYSTEM

Other Locations

Address Phone Organization
1419 9th St, Wichita Falls, TX 76301-4302

Organization Information

Office Location

Street Address 1419 9TH ST
City WICHITA FALLS
State TX
Zip 76301-4302

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Competitor

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City WICHITA FALLS
Zip Code 76301
Specialty INTERNAL MEDICINE
City + Specialty WICHITA FALLS + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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