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Individual
MR. SHANE PHILLIP TOONE
Active
Individual
MR. SHANE PHILLIP TOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
668304
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP112211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160160104
—
TX
01
—
8963UG
BCBS
TX
01
—
P01446987
RR
TX
Enumeration date
12/28/2005
Last updated
07/01/2020
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