Individual provider · Type 1 NPI

Shelly Margaret States, P.A

Medical Physician Assistant · Liberty, TX

NPI number 1407094667 Active

Practice location

1353 N Travis St
Liberty, TX 77575-3549

Call (832) 397-9283 Map

Mailing address

21542 Hawkspur Ridge St
Richmond, TX 77406-5259

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA02525 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1407094667

Shelly Margaret States, P.A's National Provider Identifier is 1407094667, issued on Jan 27, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Liberty, TX. The record was last updated on Nov 27, 2012.