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NPI Code Detail

MEDICARE: SHAYNA UPCHURCH M.D.

MEDICARE: SHAYNA UPCHURCH 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
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine PhysicianS6546TX

General Provider Information

NPI Number : 1366977688
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAYNA UPCHURCH M.D.
Provider Business Mailing Address
First Line : 9090 KATY FWY STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77024-1696
Country : US
Telephone Number : 832-522-8720
Fax Number : 713-468-3691
Provider Business Practice Location Address
First Line : 9090 KATY FWY STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77024-1696
Country : US
Telephone Number : 832-522-8720
Fax Number : 713-468-3691
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2017
Last Update Date : 04/04/2024

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Directions to “ SHAYNA UPCHURCH M.D.” Practice Location

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