DR. VERNON C. SHAFFER JR. MD
NPI 1265419030
Obstetrics & Gynecology in Texarkana, TX

Active since December 22, 2005
2604 SAINT MICHAEL DR, SUITE 410, TEXARKANA, TX 75503(903) 614-5430(903) 614-5464 Get Directions Write a Review

NPPES record last updated: January 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Vernon C. Shaffer Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VERNON C. SHAFFER JR. MD (NPI 1265419030) is an individual obstetrics & gynecology provider in Texarkana, Texas, licensed in Texas (G6012) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1265419030
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. VERNON C. SHAFFER JR.Credential: MD
Location Address2604 SAINT MICHAEL DR, SUITE 410Texarkana, TX 75503-2379
Mailing Address919 Hidden Rdg, 6th FloorIrving, TX 75038-3813 · (469) 282-2711 · Fax (469) 282-0996
Fax(903) 614-5464
Sole ProprietorNo
Enumeration DateDecember 22, 2005
Last NPPES UpdateJanuary 2, 2017
NPI 1265419030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in TX · G6012
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2604 SAINT MICHAEL DR, Texarkana, TX 75503

Other Identifiers 5

Medicaid110879001AR
Medicaid124647202TX
Medicare PIN339188YMJMTX
Medicaid124647205TX
Medicare UPINB61855

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2604 SAINT MICHAEL DR, SUITE 345
TEXARKANA, TX 75503
Physician Assistant
2604 SAINT MICHAEL DR, SUITE 340
TEXARKANA, TX 75503
Family Medicine
2604 SAINT MICHAEL DR, STE 340
TEXARKANA, TX 75503
Internal Medicine (Cardiovascular Disease)
2604 SAINT MICHAEL DR, STE 345
TEXARKANA, TX 75503
Internal Medicine (Cardiovascular Disease)
2604 SAINT MICHAEL DR, SUITE 345
TEXARKANA, TX 75503
Internal Medicine (Cardiovascular Disease)
2604 SAINT MICHAEL DR, STE 345
TEXARKANA, TX 75503
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2604 SAINT MICHAEL DR, SUITE 425
TEXARKANA, TX 75503
Internal Medicine (Cardiovascular Disease)
2604 SAINT MICHAEL DR, STE 345
TEXARKANA, TX 75503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vernon Shaffer's NPI number?

The NPI number for Vernon Shaffer is 1265419030. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Vernon Shaffer located?

Vernon Shaffer practices at 2604 Saint Michael Dr Suite 410, Texarkana, TX 75503. The listed phone number is (903) 614-5430.

What is Vernon Shaffer's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Vernon Shaffer was last updated on January 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.