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NPI Code Detail

MEDICARE: DR. PETER MCINTYRE SHEDDEN M.D.

MEDICARE:  DR. PETER MCINTYRE SHEDDEN  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
1207T00000XNeurological Surgery PhysicianJ1040TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1J1040OTHERTXSTATE LICENSE
284021BOTHERTXBCBS #
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
44266316OTHERTXAETNA

General Provider Information

NPI Number : 1861464893
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER MCINTYRE SHEDDEN M.D.
Provider Business Mailing Address
First Line : 5219 CITY BANK PKWY STE 130
Second Line :
City : LUBBOCK
State : TX
Zip : 79407-3544
Country : US
Telephone Number : 806-761-0333
Fax Number :
Provider Business Practice Location Address
First Line : 9200 NEW TRAILS DR
Second Line : SUITE 100
City : THE WOODLANDS
State : TX
Zip : 77381-5256
Country : US
Telephone Number : 281-364-9509
Fax Number : 281-364-0984
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 03/02/2026

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Directions to “ DR. PETER MCINTYRE SHEDDEN M.D.” Practice Location

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