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NPI Code Detail

MEDICARE: SHEPHERD'S FLOCK HEALTH SERVICES, LLC

MEDICARE: SHEPHERD'S FLOCK HEALTH SERVICES, LLC
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
1251E00000XHome Health Agency
2225100000XPhysical Therapist
3225X00000XOccupational Therapist
4261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1528934825
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHEPHERD'S FLOCK HEALTH SERVICES, LLC
Provider Business Mailing Address
First Line : PO BOX 7215
Second Line :
City : TYLER
State : TX
Zip : 75711-7215
Country : US
Telephone Number : 903-515-5535
Fax Number :
Provider Business Practice Location Address
First Line : 310 W RUSK ST
Second Line :
City : TYLER
State : TX
Zip : 75701-1513
Country : US
Telephone Number : 903-515-5535
Fax Number :
Authorized Official
Title or Position : SOLE MEMBER/OWNER/PRESIDENT
Name : MATTHEW D ROBERSON
Credential : DC
Telephone Number : 903-515-5535
Provider Enumeration Date : 10/14/2025
Last Update Date : 06/08/2026

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