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NPI Code Detail

MEDICARE: SHEILA MUNDY MD

MEDICARE: SHEILA MUNDY MD
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
12084P0800XPsychiatry PhysicianL0438TX

General Provider Information

NPI Number : 1477644748
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA MUNDY MD
Provider Business Mailing Address
First Line : 110 S 12TH ST
Second Line : PO BOX 890
City : WACO
State : TX
Zip : 76701-1810
Country : US
Telephone Number : 254-297-7004
Fax Number :
Provider Business Practice Location Address
First Line : 110 S 12TH ST
Second Line :
City : WACO
State : TX
Zip : 76701-1810
Country : US
Telephone Number : 254-297-7004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 06/15/2009

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Directions to “ SHEILA MUNDY MD” Practice Location

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