Individual
DR. SHANE D JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 451-6266
(757) 451-6251
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
0101262983
VA
2086S0127X
Trauma Surgery Physician
Primary
Q4994
TX
Other
Enumeration date
12/19/2006
Last updated
06/25/2020
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