Provider Demographics
NPI:1588990501
Name:JOHN SHEFFEL PLLC
Entity type:Organization
Organization Name:JOHN SHEFFEL PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEFFEL
Authorized Official - Suffix:
Authorized Official - Credentials:RN, FNP
Authorized Official - Phone:361-355-8202
Mailing Address - Street 1:2806 N NAVARRO ST
Mailing Address - Street 2:SUUITE B
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-3918
Mailing Address - Country:US
Mailing Address - Phone:361-576-4100
Mailing Address - Fax:
Practice Address - Street 1:115 MEDICAL DR STE 101
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-3105
Practice Address - Country:US
Practice Address - Phone:361-355-8202
Practice Address - Fax:361-355-8204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-27
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261Q00000X
TX666326261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center