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NPI Code Detail

MEDICARE: DR. SHELLEY SEMBLER B.S.,D.C.

MEDICARE: DR. SHELLEY SEMBLER B.S.,D.C.
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
1111N00000XChiropractor6010TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16010OTHERTXLICENSE

General Provider Information

NPI Number : 1376698704
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHELLEY SEMBLER B.S.,D.C.
Provider Business Mailing Address
First Line : 3311 PADRE BLVD
Second Line : SUITE B
City : SOUTH PADRE ISLAND
State : TX
Zip : 78597-7048
Country : US
Telephone Number : 956-761-6006
Fax Number : 956-761-6002
Provider Business Practice Location Address
First Line : 3311 PADRE BLVD
Second Line : SUITE B
City : SOUTH PADRE ISLAND
State : TX
Zip : 78597-7048
Country : US
Telephone Number : 956-761-6006
Fax Number : 956-761-6002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 09/28/2010

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