Most Relevant Information
Provider Data
| NPI Number: | 1003810995 |
| Provider Name: | MICHAEL VISE SHELTON M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | E8905 |
Most Important Dates
| Enumeration Date: | 06/08/2005 |
| Last Updated: | 07/20/2010 |
Provider Practice Location
4222 WENDOVER AVE
STE 600
ODESSA
TX
797625983
Practice Location Phone/Fax
| Phone: | 4325525656 |
| Fax: | 4325520992 |
Provider Mailing Location
4222 WENDOVER AVE
STE 600
ODESSA
TX
797625983
Provider Mailing Phone/Fax
| Phone: | 4325525656 |
| Fax: | 4325520992 |
Suggested EMR
Family Practice EMR