Dr BRENT H SHEPHERD is a male medical professional, specializing in Family Medicine. He graduated in 2008 from State University Of New York Downstate Medical Center.
109 VALLE CT
AZLE
TX
760203650
Tel: 8172871264
| Npi | 1164687620 |
| Pac Id | 6901081314 |
| Professional Enrollment Id | I20110429000123 |
| Last Name | SHEPHERD |
| First Name | BRENT |
| Middle Name | H |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 2008 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | EMERGENCY MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | EMERGENCY MEDICINE |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 109 VALLE CT |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | AZLE |
| State | TX |
| Zip Code | 760203650 |
| Phone Number | 8172871264 |
| Hospital Affiliation Ccn 1 | 450241 |
| Hospital Affiliation Lbn 1 | FAITH COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 2 | 450565 |
| Hospital Affiliation Lbn 2 | PALO PINTO GENERAL HOSPITAL |
| Hospital Affiliation Ccn 3 | 450271 |
| Hospital Affiliation Lbn 3 | WISE REGIONAL HEALTH SYSTEM |
| Hospital Affiliation Ccn 4 | 450085 |
| Hospital Affiliation Lbn 4 | GRAHAM REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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