MEDICARE: MARY GRANTHAM SHELTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1427991173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY GRANTHAM SHELTON

Provider Business Mailing Address
First Line	:	2904 CHENEVERT ST UNIT F
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-3098
Country	:	US
Telephone Number	:	850-694-0492
Fax Number	:

Provider Business Practice Location Address
First Line	:	2904 CHENEVERT ST UNIT F
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-3098
Country	:	US
Telephone Number	:	850-694-0492
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	05/28/2026

Similar Medicare Providers

1417009242 — DR. ADEBAYO JERRY ADESOMO M.D.
Practice Location Address:

3101 RICHMOND AVE STE 250
HOUSTON, TX
77098-3098

Practice Phone: 713-526-6500
Practice Fax: 713-526-0598

1700882511 — MELISSA J. CARRANZA ACNP
Practice Location Address:

5115 FANNIN ST STE 801
HOUSTON, TX
77004-5870

Practice Phone: 713-790-0841
Practice Fax: 713-790-9663

1184925703 — DR. DAVID GARY LEIMAN M.D.
Practice Location Address:

2001 HERMANN DR
HOUSTON, TX
77004-7643

Practice Phone: 713-367-8548
Practice Fax: 281-833-3323

1306194329 — DR. DANIELLE NICHOLE BROWN MD
Practice Location Address:

1313 HERMANN DR
HOUSTON, TX
77004-7005

Practice Phone: 281-753-5509
Practice Fax:

1760243240 — RDN HOME CARE AGENCY
Practice Location Address:

4625 CHARTRES ST
HOUSTON, TX
77004-5143

Practice Phone: 832-965-7604
Practice Fax: 281-990-6447

1700734860 — SWARA MUKESH MODI PA-C
Practice Location Address:

1200 BINZ ST
HOUSTON, TX
77004-6900

Practice Phone: 713-794-0700
Practice Fax:

Directions to “ MARY GRANTHAM SHELTON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.