Shrader Family Medical Clinic, PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

G3787 Issued in TX

Legal business name

SHRADER FAMILY MEDICAL CLINIC, PA

Practice address

429 N Gun Barrel LN
Suite 111
Gun Barrel City, TX 75156-3731

Phone

(903) 887-2704

NPI assigned

Sep 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Karen E Shrader, MD

Title

Owner

Phone

(903) 887-2704

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1609060383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 N. GUN BARREL LANE",
            "address_2": "SUITE 111",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "75156",
            "telephone_number": "903-887-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 N GUN BARREL LN",
            "address_2": "SUITE 111",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751563731",
            "telephone_number": "903-887-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRADER FAMILY MEDICAL CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "SHRADER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-887-2704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "G3787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Michael Sampson
• Nathan Schauer, PHARMD
• Scooters Wheelchairs Too, Inc.
• Ashley Lynn Sexton, PHARMD
• Teddi Stephanie Shearouse, RN, CNS, FNP-C
• Karen Elizabeth Shrader, MD
• Michael Shane Smith, APRN NP-C
• Alice Renee Splinter, MD
• Jami Thomas Spraggins
• Sree Pharma Corporation

• Clinic/Center in Gun Barrel City, TX
• Providers in Gun Barrel City, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.