Individual
DR. ALEX LEOR SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3551 ROGER BROOKE DRIVE, MCHE/ME, JBSA FORT SAM HOUSTON, TX 78234
(210) 916-4789
Mailing address
2551 ROGER BROOKE DRIVE, MCHE/ME / IBSA FORT SAM HOUSTON, SAN ANTONIO, TX 78234
(210) 916-4789
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
S4234
TX
208D00000X
General Practice Physician
0102205613
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2017
Last updated
08/17/2021
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