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Organization
SHINER MEDICAL LLP
Active
Organization
SHINER MEDICAL LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA JAHN (BUSINESS MANAGER)
(361) 594-3824
Entity
Organization
Contact information
Practice address
124 E WOLTERS, SHINER, TX 77984
(361) 594-3824
(361) 594-3854
Mailing address
PO BOX 965, SHINER, TX 77984-0965
(361) 594-3824
(361) 594-3854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037427402
—
TX
05
—
135624802
—
TX
05
—
138955301
—
TX
05
—
138955307
—
TX
05
—
379626001
—
TX
Enumeration date
09/28/2018
Last updated
09/28/2018
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