Provider Demographics
NPI:1699669630
Name:EMILY SHEVELAND, DO, PLLC
Entity type:Organization
Organization Name:EMILY SHEVELAND, DO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SHEVELAND
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-901-0745
Mailing Address - Street 1:1904 FELIX DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-5139
Mailing Address - Country:US
Mailing Address - Phone:214-901-0745
Mailing Address - Fax:
Practice Address - Street 1:5236 W UNIVERSITY DR STE 3200
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-8120
Practice Address - Country:US
Practice Address - Phone:972-548-1717
Practice Address - Fax:972-548-9190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty