Provider Demographics
NPI:1841400744
Name:SHUMAN, DEBORAH LYNN (MD)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LYNN
Last Name:SHUMAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 TEXAS BLVD STE 501
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75501-5117
Mailing Address - Country:US
Mailing Address - Phone:903-794-0888
Mailing Address - Fax:903-794-0894
Practice Address - Street 1:1002 TEXAS BLVD STE 501
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75501-5117
Practice Address - Country:US
Practice Address - Phone:903-794-0888
Practice Address - Fax:903-794-0884
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD201299207VG0400X
TXS3305207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1011444Medicaid
LA1011444Medicaid