Provider Demographics
NPI:1760291678
Name:RENDON, SHELBY BELEN (RPHT)
Entity type:Individual
Prefix:MRS
First Name:SHELBY
Middle Name:BELEN
Last Name:RENDON
Suffix:
Gender:F
Credentials:RPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:EDNA
Mailing Address - State:TX
Mailing Address - Zip Code:77957-2703
Mailing Address - Country:US
Mailing Address - Phone:361-781-0789
Mailing Address - Fax:
Practice Address - Street 1:103 W ELM ST
Practice Address - Street 2:
Practice Address - City:EDNA
Practice Address - State:TX
Practice Address - Zip Code:77957-2703
Practice Address - Country:US
Practice Address - Phone:361-781-0789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX321095183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician