MEDICARE: WHITNEY SHUMAKER

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	363AM0700X	Medical Physician Assistant	PA08841	TX

General Provider Information

NPI Number	:	1235556002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY SHUMAKER

Provider Business Mailing Address
First Line	:	819 N BROADWAY ST
Second Line	:
City	:	ASPERMONT
State	:	TX
Zip	:	79502-2029
Country	:	US
Telephone Number	:	940-989-3551
Fax Number	:	940-989-3395

Provider Business Practice Location Address
First Line	:	821 N BROADWAY ST
Second Line	:
City	:	ASPERMONT
State	:	TX
Zip	:	79502-2029
Country	:	US
Telephone Number	:	940-989-3551
Fax Number	:	940-989-3395

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

Provider Enumeration Date	:	03/18/2014
Last Update Date	:	03/18/2014

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Directions to “ WHITNEY SHUMAKER ” Practice Location

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