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NPI Code Detail

MEDICARE: DR. JOY CELESTE SHEPPARD M.D.

MEDICARE: DR. JOY CELESTE SHEPPARD 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
1207VM0101XMaternal & Fetal Medicine PhysicianH8396TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2538091YMGJOTHERTXMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982692984
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOY CELESTE SHEPPARD M.D.
Provider Business Mailing Address
First Line : 1501 RED RIVER ST
Second Line :
City : AUSTIN
State : TX
Zip : 78712-1845
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1201 W 38TH ST FL 2
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1006
Country : US
Telephone Number : 512-324-7256
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 03/17/2018

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Directions to “ DR. JOY CELESTE SHEPPARD M.D.” Practice Location

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