Individual
DR. MARK A SHIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 CAMDEN ST STE 102, SAN ANTONIO, TX 78215
(210) 281-9800
(210) 281-1001
Mailing address
311 CAMDEN ST STE 102, SAN ANTONIO, TX 78215-2003
(210) 281-9800
(210) 281-1001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2007009236
MO
207RC0000X
Cardiovascular Disease Physician
L1745
TX
207RI0011X
Interventional Cardiology Physician
Primary
L1745
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204455208
—
MO
01
—
330215429
CMS
MO
Enumeration date
03/03/2006
Last updated
07/11/2019
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