Provider Demographics
NPI:1609430859
Name:ARISMENDEZ, SHYLA DENAE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHYLA
Middle Name:DENAE
Last Name:ARISMENDEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHYLA
Other - Middle Name:DENAE
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5601 W INTERSTATE 40
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-4605
Mailing Address - Country:US
Mailing Address - Phone:806-318-5777
Mailing Address - Fax:
Practice Address - Street 1:5601 W INTERSTATE 40
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-4605
Practice Address - Country:US
Practice Address - Phone:806-318-5777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-23
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXT9341207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program