Provider Demographics
NPI:1144732025
Name:SHURTS, DAVID
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:SHURTS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9618 CASTLEROY LN
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-8365
Mailing Address - Country:US
Mailing Address - Phone:469-408-9793
Mailing Address - Fax:800-435-6133
Practice Address - Street 1:701 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75202-4522
Practice Address - Country:US
Practice Address - Phone:469-408-9793
Practice Address - Fax:800-435-6133
Is Sole Proprietor?:No
Enumeration Date:2017-10-31
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72528227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX72528OtherTEXAS MEDICAL BOARD