Provider Demographics
NPI:1770902694
Name:HALSEY, SHELBY (MD)
Entity type:Individual
Prefix:DR
First Name:SHELBY
Middle Name:
Last Name:HALSEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5323 HARRY HINES BLVD
Mailing Address - Street 2:CHARLES SPRAGUE BUILDLING, 6TH FLOOR, SUITE CS6.104
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-9055
Mailing Address - Country:US
Mailing Address - Phone:214-648-4734
Mailing Address - Fax:214-648-9145
Practice Address - Street 1:5323 HARRY HINES BLVD
Practice Address - Street 2:CHARLES SPRAGUE BUILDING, 6TH FLOOR, SUITE CS6.104
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-9055
Practice Address - Country:US
Practice Address - Phone:214-648-4734
Practice Address - Fax:214-648-9145
Is Sole Proprietor?:No
Enumeration Date:2014-04-08
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXS2053208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation