MEDICARE: SHEPHERD ISD

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	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1548300213
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHEPHERD ISD

Provider Business Mailing Address
First Line	:	1401 S BYRD AVE
Second Line	:
City	:	SHEPHERD
State	:	TX
Zip	:	77371-3582
Country	:	US
Telephone Number	:	936-628-3396
Fax Number	:	936-628-3841

Provider Business Practice Location Address
First Line	:	1401 S BYRD AVE
Second Line	:
City	:	SHEPHERD
State	:	TX
Zip	:	77371-3582
Country	:	US
Telephone Number	:	936-628-3396
Fax Number	:	936-628-3841

Authorized Official
Title or Position	:	ASST. SUPT FOR SPECIAL PROGRAMS
Name	:	MRS. DIANA KELM
Credential	:
Telephone Number	:	936-628-3396

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	09/11/2007

Similar Medicare Providers

1871633560 — GOODRICH ISD
Practice Location Address:

1401 S BYRD AVE
SHEPHERD, TX
77371-3582

Practice Phone: 936-628-3396
Practice Fax: 936-628-3841

1609082445 — SHEPHERD I S D
Practice Location Address:

1401 S BYRD AVE
SHEPHERD, TX
77371-3582

Practice Phone: 936-628-3396
Practice Fax: 936-628-3841

1871077669 — LAUREN MICHEL ESTRIDGE MS, ATC, LAT
Practice Location Address:

1401 S BYRD AVE
SHEPHERD, TX
77371-3582

Practice Phone: 936-628-3371
Practice Fax: 936-628-6986

1306879580 — LTC HEALTHCARE SHEPARD INC
Practice Location Address:

101 WOODLAND PARK DR
SHEPHERD, TX
77371-6497

Practice Phone: 936-628-3388
Practice Fax: 936-628-6387

1376629212 — SHEPHERD RURAL HEALTH CLINIC PA
Practice Location Address:

11 WOODLAND PARK DRIVE
SHEPHERD, TX
77371

Practice Phone: 936-628-3343
Practice Fax:

1346472537 — HEALTH CENTER OF SOUTHEAST TEXAS
Practice Location Address:

11 WOODLAND PARK DR
SHEPHERD, TX
77371-6495

Practice Phone: 936-628-1100
Practice Fax: 936-628-1199

Directions to “SHEPHERD ISD ” 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.