Individual
ANDREW SHAKESPEARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3621 22ND ST, LUBBOCK, TX 79410
(806) 725-7455
(806) 725-8498
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5844
(806) 723-6532
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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