Sheldon Extracare Family Practice

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

PA03060 Issued in TX

Legal business name

SHELDON EXTRACARE FAMILY PRACTICE

Practice address

8514 C E King Pkwy
Suite T
Houston, TX 77044-2344

Phone

(281) 458-4707

Fax

(281) 458-4700

NPI assigned

May 19, 2008

Last updated

May 19, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Latina Blair, PA-C

Title

Physician Assistant

Phone

(281) 458-4707

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1184881013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8514 C E KING PKWY",
            "address_2": "SUITE T",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770442344",
            "telephone_number": "281-458-4707",
            "fax_number": "281-458-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8514 C E KING PKWY",
            "address_2": "SUITE T",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770442344",
            "telephone_number": "281-458-4707",
            "fax_number": "281-458-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELDON EXTRACARE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "LATINA",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "281-458-4707",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "PA03060",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "K4259",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Shelburne, MD
• Shelby Debnam Vision (Heights Vision Specialists)
• Shelby Dialysis LLC (Cloverleaf Dialysis)
• Amelia Ruth-Desiret Shelby-Nwokeji, M.D.
• Nicole Elizabeth Shelby, LMT
• Sheldon Isd
• Sheldon Rubenfeld MD
• Meagan Sheldon, ACNPC-AG
• Samuel Douglas Sheldon
• Taryn Marie Sheldon, PA-C

• Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.