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NPI Code Detail

MEDICARE: TRISTA M SHAFER CSFA

MEDICARE:   TRISTA M SHAFER  CSFA
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
1208600000XSurgery Physician133696TX

General Provider Information

NPI Number : 1285591305
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRISTA M SHAFER CSFA
Provider Business Mailing Address
First Line : 2508 TAYLOR ST
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76309-5342
Country : US
Telephone Number : 940-642-1416
Fax Number :
Provider Business Practice Location Address
First Line : 1600 11TH ST
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76301-4388
Country : US
Telephone Number : 940-764-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2026
Last Update Date : 01/09/2026

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Directions to “ TRISTA M SHAFER CSFA” Practice Location

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