| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ZACHARY CLINTON SHEPPARD | 1205244753 | 2024-01-06 |
Zachary Clinton Sheppard is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1205244753. Registration indicates Zachary Clinton Sheppard is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Mr. Zachary Clinton Sheppard FNP |
| Practice Office Address | 2312 TIDWELL RD HOUSTON, TX US |
| Practice Office Telephone | 2812720888 |
| Practice Office Fax | 8325598584 |
| Mailing Address | 2312 TIDWELL RD HOUSTON, TX 77388 US |
| Business Telephone | 2812720888 |
| Business Fax | 8325598584 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | AP126026
TX |