Individual
ANDREW SHAKESPEARE
Active
Individual
ANDREW SHAKESPEARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10047212
TX
207RP1001X
Pulmonary Disease Physician
Primary
Q2387
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
826791
MEDICARE
TX
01
—
8LD848
BCBS
TX
Enumeration date
04/18/2013
Last updated
12/21/2019
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