Provider Demographics
NPI:1013198209
Name:WILLIAM R SHELDON, JR., MD PA
Entity Type:Organization
Organization Name:WILLIAM R SHELDON, JR., MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANIS
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:SHELDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-943-7626
Mailing Address - Street 1:5930 W PARKER RD
Mailing Address - Street 2:#700
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-6419
Mailing Address - Country:US
Mailing Address - Phone:972-943-7626
Mailing Address - Fax:972-608-5223
Practice Address - Street 1:5930 W PARKER RD
Practice Address - Street 2:#700
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-6419
Practice Address - Country:US
Practice Address - Phone:972-943-7626
Practice Address - Fax:972-608-5223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1999207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAS8908848OtherDEA
TXAS8908848OtherDEA