Individual provider · NPI-1

Herbert D Short III, M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Tyler, TX

NPI number1194735613
StatusActive
Last updated in NPPESDec 9, 2008

Details

NPI
1194735613
Entity type
Individual (NPI-1)
Name
Herbert D Short III
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 8, 2006
Last updated
Dec 9, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)E1941TXYes

Practice location

910 East Houston
Ste 530
Tyler, TX 75702-8366

Phone 903-525-2992

Mailing address

Po Box 5500
Tyler, TX 75712-5500

Phone 903-324-6400

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