Provider Demographics
NPI:1265408298
Name:SHEFFIELD, JESSE DAVID II (DO)
Entity type:Individual
Prefix:DR
First Name:JESSE
Middle Name:DAVID
Last Name:SHEFFIELD
Suffix:II
Gender:M
Credentials:DO
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Mailing Address - Street 1:PO BOX 848476
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-8476
Mailing Address - Country:US
Mailing Address - Phone:254-202-4655
Mailing Address - Fax:254-202-4697
Practice Address - Street 1:9821 CHINA SPRING RD
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76708-4800
Practice Address - Country:US
Practice Address - Phone:254-202-7400
Practice Address - Fax:254-202-7450
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2024-11-01
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Provider Licenses
StateLicense IDTaxonomies
TXJ3221207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX117871704Medicaid
TX8H3673OtherBCBS
8C6089Medicare PIN
F46813Medicare UPIN
P00167266Medicare PIN