Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TYLER RAY SHACKELFORD, DO
ActiveDR. TYLER RAY SHACKELFORD, DO is a Critical Care Medicine healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1487996427 is currently active in the NPPES registry. Verify at CMS.
Critical Care Medicine · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1487996427
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 16, 2013 (13.442298246335 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
R06-2013 (NM)A-20176-16 (NM)
Practice Information
- Address
-
601 DR MARTIN LUTHER KING JR AVE NEALBUQUERQUE, NM, 871023619Browse NM providers · Browse ZIP 87102
- Phone
- 5057278206
- Primary Specialty
-
Critical Care Medicine
207RC0200X
- Additional Specialty
- Critical Care Medicine
Other Critical Care Medicine Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| DENISE GONZALES | MD | 1326043415 |
| DR. HAROLD LAWRENCE GROFF | M.D. | 1295706331 |
| MICHEL A BOIVIN | MD | 1245255835 |
| STACI A LOGUE | PA-C | 1922014646 |
| SUSANNA MARIE GONZALES | MD | 1992899371 |
| ERIK P. KRAAI | M.D. | 1376693655 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.