Provider Demographics
NPI:1437470002
Name:SHIRLEY, PATRICIA KAY (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:KAY
Last Name:SHIRLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 N 19TH ST
Mailing Address - Street 2:STE 100
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-2494
Mailing Address - Country:US
Mailing Address - Phone:325-672-3252
Mailing Address - Fax:325-672-3009
Practice Address - Street 1:950 N 19TH ST
Practice Address - Street 2:STE 100
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2494
Practice Address - Country:US
Practice Address - Phone:325-672-3252
Practice Address - Fax:325-672-3009
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-18
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP7566207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine