Provider Demographics
NPI:1417152265
Name:SHEPPARD ENTITIES INC
Entity Type:Organization
Organization Name:SHEPPARD ENTITIES INC
Other - Org Name:UNITED CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:SHEPPARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-392-6550
Mailing Address - Street 1:607 S MASON RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3419
Mailing Address - Country:US
Mailing Address - Phone:281-392-6550
Mailing Address - Fax:281-392-5008
Practice Address - Street 1:607 S MASON RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-3419
Practice Address - Country:US
Practice Address - Phone:281-392-6550
Practice Address - Fax:281-392-5008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1316019516Medicare UPIN