The Physician & Tutor, P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G5606 Issued in TX

Legal business name

THE PHYSICIAN & TUTOR, P.A.

Practice address

690 E Lamar Blvd
Suite 117
Arlington, TX 76011-3882

Phone

(817) 548-0504

Fax

(817) 861-8845

NPI assigned

Jan 10, 2008

Organization subpart

No

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

Authorized official

Name

Annette Marie Shelton, M.D.NPI 1104845056

Title

Ceo & Owner

Phone

(817) 548-0504

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Annette Marie Shelton, M.D.

  • Psychiatry Physician
  • Arlington, TX
  • NPI 1104845056
  NPD (past) Authorized official

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1972789832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 EAST LAMAR BOULEVARD",
            "address_2": "SUITE 117",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760113882",
            "telephone_number": "817-548-0504",
            "fax_number": "817-861-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 E LAMAR BLVD",
            "address_2": "SUITE 117",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760113882",
            "telephone_number": "817-548-0504",
            "fax_number": "817-861-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHYSICIAN & TUTOR, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO & OWNER",
        "authorized_official_telephone_number": "817-548-0504",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G5606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.