Individual provider · NPI-1
Shelby Wegman, PA-C
Physician Assistant, Surgical · Rockwall, TX
NPI number1689328650
StatusActive
Last updated in NPPESJun 11, 2024
Details
- NPI
- 1689328650
- Entity type
- Individual (NPI-1)
- Name
- Shelby Wegman
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 9, 2022
- Certification date
- Jun 11, 2024
- Last updated
- Jun 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA15331 | TX | Yes |
| 207T00000X | Neurological Surgery | PA15331 | TX |
Practice location
3142 Horizon Rd Ste 100Rockwall, TX 75032-7815
Phone 817-442-9300 · Fax 844-358-4178
Mailing address
8350 Dallas Pkwy Ste 300Frisco, TX 75034-5076
Phone 972-377-9200
Other practice locations
8350 Dallas Pkwy Ste 300
Frisco, TX 75034-5076
Frisco, TX 75034-5076
Phone 972-377-9200
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