NPI 1609498872

Shirley Maxwell

Practitioner Private Vehicle Dallas, TX

Practice location

Address: 1106 Little Fox Dr, Dallas, TX 75253-5077
Phone: (214) 641-8507

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 22341179 (TX)

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Registry record

NPI: 1609498872
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2020
Record last updated: 11 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.