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Organization
SHAMOON DOCTOR, MD PA
Active
Organization
SHAMOON DOCTOR, MD PA
Active
Other names
Shamoon Doctor, MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMOOM DOCTOR MD (PHYSICIAN OWNER)
(830) 313-6032
Entity
Organization
Contact information
Practice address
612 N BEDELL AVE STE A, DEL RIO, TX 78840-4173
(830) 313-6032
Mailing address
804 EVENTIDE DR, SAN ANTONIO, TX 78209-5520
(830) 313-6032
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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