Provider Demographics
NPI:1215583893
Name:CATES, SHELBI RE (RCPHT)
Entity Type:Individual
Prefix:
First Name:SHELBI
Middle Name:RE
Last Name:CATES
Suffix:
Gender:F
Credentials:RCPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 N HIGHWAY 377 STE 100
Mailing Address - Street 2:
Mailing Address - City:PILOT POINT
Mailing Address - State:TX
Mailing Address - Zip Code:76258-3762
Mailing Address - Country:US
Mailing Address - Phone:940-686-0123
Mailing Address - Fax:940-686-0170
Practice Address - Street 1:1340 N HIGHWAY 377 STE 100
Practice Address - Street 2:
Practice Address - City:PILOT POINT
Practice Address - State:TX
Practice Address - Zip Code:76258-3762
Practice Address - Country:US
Practice Address - Phone:940-686-0123
Practice Address - Fax:940-686-0170
Is Sole Proprietor?:No
Enumeration Date:2019-08-10
Last Update Date:2019-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123431183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician