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Individual
SHAWN PAUL CULLEN
Active
Individual
SHAWN PAUL CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-114148
IL
207P00000X
Emergency Medicine Physician
Primary
N3586
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356387351
BCBS
TX
05
—
204771401
—
TX
05
—
204771402
—
TX
01
—
750818167-015
TRICARE
TX
01
—
750818167-044
TRICARE
TX
01
—
751976930-005
TRICARE
TX
01
—
P00738378
MEDICARE RAILROAD
TX
01
—
P00739413
MEDICARE RAILROAD
TX
Enumeration date
06/20/2006
Last updated
09/24/2010
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