Provider Demographics
NPI:1336187053
Name:HORSLEY, SHEILA K (MD)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:K
Last Name:HORSLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:787 E. FM 1187
Mailing Address - Street 2:STE A
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036
Mailing Address - Country:US
Mailing Address - Phone:817-293-6988
Mailing Address - Fax:817-293-6729
Practice Address - Street 1:787 E. FM 1187
Practice Address - Street 2:STE A
Practice Address - City:CROWLEY
Practice Address - State:TX
Practice Address - Zip Code:76036
Practice Address - Country:US
Practice Address - Phone:817-293-6988
Practice Address - Fax:817-293-6729
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7785207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFK03Medicare ID - Type Unspecified
TXTXB107026Medicare UPIN
TXB23582Medicare UPIN