TIM SHEPHERD MD PA NPI 1255655007

NPI Information

  • NPI: 1255655007
  • Provider Name: TIM SHEPHERD MD PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 500 N VALLEY PKWY
    STE 101
    LEWISVILLE, TX
    ZIP 75067
  • Phone: (972) 420-8777

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NPI Details

TIM SHEPHERD MD PA is a family medicine in Lewisville, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TIM SHEPHERD MD PA NPI is 1255655007. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

500 N VALLEY PKWY
STE 101
LEWISVILLE, TX
ZIP 75067-552
Phone: (972) 420-8777
Fax: (972) 219-1978

The provider's authorized official is Tim S Shepherd .
The authorized official title is Owner and has the following contact phone number (972) 420-8777.

The enumeration date for this NPI number is 3/23/2010 and was last updated on 9/30/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineF4518TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100Z699OTHERTEXASBLUE CROSS/BLUE SHIELD
2B26392OTHERTEXASCOMMERCIAL
3DQ2129OTHERTEXASRAILROAD MEDICARE
4212009901MEDICAIDTEXAS
50A6055MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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