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Individual

DR. NATHAN SHUMWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O., FACP

Contact information

Practice address
18707 HARDY OAK BLVD, SUITE 320, SAN ANTONIO, TX 78258-4791
(210) 545-6972
(210) 545-1016
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
P2528
TX
207RX0202X
Medical Oncology Physician
DOS-1014
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
349764601
TX
01
P01547652
RAILROAD MEDICARE
TX
Enumeration date
11/15/2005
Last updated
01/28/2016
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