Provider Demographics
NPI:1609823319
Name:JOHN SHELTON, M.D. P. A.
Entity Type:Organization
Organization Name:JOHN SHELTON, M.D. P. A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:SHELTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-383-7600
Mailing Address - Street 1:1614 SCRIPTURE ST
Mailing Address - Street 2:SUITE #10
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-3837
Mailing Address - Country:US
Mailing Address - Phone:940-383-7600
Mailing Address - Fax:
Practice Address - Street 1:1614 SCRIPTURE ST
Practice Address - Street 2:SUITE #10
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-3837
Practice Address - Country:US
Practice Address - Phone:940-383-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty