Provider Demographics
NPI:1477154581
Name:TEXOMA RHEUMATOLOGY PLLC
Entity Type:Organization
Organization Name:TEXOMA RHEUMATOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:K
Authorized Official - Last Name:SHINER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-264-2625
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:940-264-2625
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:940-264-2625
Practice Address - Fax:940-264-6401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-04
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty