Provider Demographics
NPI:1326228339
Name:SHINER, ERIN KATE (MD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:KATE
Last Name:SHINER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4722 TAFT BLVD STE 8
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-4800
Mailing Address - Country:US
Mailing Address - Phone:940-264-2624
Mailing Address - Fax:940-264-6401
Practice Address - Street 1:4722 TAFT BLVD STE 8
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-4800
Practice Address - Country:US
Practice Address - Phone:940-264-2624
Practice Address - Fax:940-264-6401
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-01977207R00000X, 207RR0500X
TXQ2064207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ2064OtherMEDICAL LIC