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NPI Code Detail

MEDICARE: DR. SHELLY BROLINE SITTON M.D.

MEDICARE: DR. SHELLY BROLINE SITTON M.D.
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
12085N0904XNuclear Radiology PhysicianL9112TX
2207U00000XNuclear Medicine PhysicianL9112TX

General Provider Information

NPI Number : 1548265598
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHELLY BROLINE SITTON M.D.
Provider Business Mailing Address
First Line : 6431 FANNIN ST
Second Line : MSB 2.130B
City : HOUSTON
State : TX
Zip : 77030-1501
Country : US
Telephone Number : 713-500-7631
Fax Number :
Provider Business Practice Location Address
First Line : 5656 KELLEY ST
Second Line :
City : HOUSTON
State : TX
Zip : 77026-1967
Country : US
Telephone Number : 713-566-6164
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 01/20/2026

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Directions to “ DR. SHELLY BROLINE SITTON M.D.” Practice Location

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