Healthcare Provider Details

I. General information

NPI: 1013198209
Provider Name (Legal Business Name): WILLIAM R SHELDON, JR., MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5930 W PARKER RD #700
PLANO TX
75093-6419
US

IV. Provider business mailing address

5930 W PARKER RD #700
PLANO TX
75093-6419
US

V. Phone/Fax

Practice location:
  • Phone: 972-943-7626
  • Fax: 972-608-5223
Mailing address:
  • Phone: 972-943-7626
  • Fax: 972-608-5223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberF1999
License Number StateTX

VIII. Authorized Official

Name: MRS. JANIS IRENE SHELDON
Title or Position: OFFICE MANAGER
Credential:
Phone: 972-943-7626