Provider Demographics
NPI:1487672556
Name:SHELLENBERGER, DAVID LUKE (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:LUKE
Last Name:SHELLENBERGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:400 WEST ARBROOK BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-3174
Mailing Address - Country:US
Mailing Address - Phone:817-261-3000
Mailing Address - Fax:817-274-4292
Practice Address - Street 1:400 WEST ARBROOK BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-3174
Practice Address - Country:US
Practice Address - Phone:817-261-3000
Practice Address - Fax:817-274-4292
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM3089207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology