Provider Demographics
NPI:1013998665
Name:JOSEPH J SHAYEB MD LTD
Entity type:Organization
Organization Name:JOSEPH J SHAYEB MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAYEB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:432-620-8666
Mailing Address - Street 1:PO BOX 5225
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79704-5225
Mailing Address - Country:US
Mailing Address - Phone:432-620-8666
Mailing Address - Fax:432-682-9990
Practice Address - Street 1:900 W LOOP 250 N
Practice Address - Street 2:SUITE E
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-2800
Practice Address - Country:US
Practice Address - Phone:432-620-8666
Practice Address - Fax:432-682-9990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-10
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3604207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0050MUOtherBCBS
TXDE4314OtherRAILROAD MEDICARE
TXDE4314OtherRAILROAD MEDICARE