Individual
MISS THOMAS ALLEN SHILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO.,LO
Contact information
Practice address
900 E US HIGHWAY 77, SAN BENITO, TX 78586-5424
(956) 399-1129
(361) 888-7424
Mailing address
PO BOX 331580, CORPUS CHRISTI, TX 78463-1580
(361) 888-7752
(361) 888-7424
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
468
TX
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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