Shelby R Lies, MD
Surgery, Plastic and Reconstructive Surgery in Dallas, TX. Individual provider (NPI-1).
NPI number1144530676
StatusActive
Last updated in NPPESJun 22, 2016
Details
- NPI
- 1144530676
- Entity type
- Individual (NPI-1)
- Name
- Shelby R Lies
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2010
- Last updated
- Jun 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | BP1-0038005 | TX | Yes |
Practice location
1801 Inwood RdDallas, TX 75390-9132
Phone 214-645-2353
Mailing address
1801 Inwood RdDallas, TX 75390-9132
Phone 214-645-2353
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