Provider Demographics
NPI:1093829509
Name:ACCESS FAMILY HEALTH, PA
Entity Type:Organization
Organization Name:ACCESS FAMILY HEALTH, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAUN
Authorized Official - Middle Name:BOBBI
Authorized Official - Last Name:KELEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-927-2824
Mailing Address - Street 1:300 N ALAMO BLVD
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75670-3451
Mailing Address - Country:US
Mailing Address - Phone:903-927-2824
Mailing Address - Fax:903-927-2880
Practice Address - Street 1:300 N ALAMO BLVD
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75670-3451
Practice Address - Country:US
Practice Address - Phone:903-927-2824
Practice Address - Fax:903-927-2880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6234305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH85473Medicare UPIN