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Organization
SHINE FOOT AND ANKLE CENTER
Active
Organization
SHINE FOOT AND ANKLE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHINE JOHN DPM (DPM/OWNER)
(512) 705-7737
Entity
Organization
Contact information
Practice address
11614 FM 2244 RD STE 150, AUSTIN, TX 78738-5471
(512) 705-7737
Mailing address
11614 FM 2244 RD STE 150, AUSTIN, TX 78738-5471
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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