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Individual

MR. DAVID SILAS SHANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
2621 KINGSLAND CIRCLE, SCHERTZ, TX 78154
(210) 658-1953
(210) 658-1953
Mailing address
2621 KINGSLAND CIRCLE, SCHERTZ, TX 78154
(210) 658-1953
(210) 658-1953

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
25792
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0026CT
BCBS
TX
Enumeration date
07/24/2006
Last updated
07/08/2007
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