Individual
DR. PAUL J. SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7700 FLOYD CURL DR, 10TH FLOOR, SAN ANTONIO, TX 78229-3902
(210) 575-3817
(210) 575-4113
Mailing address
8109 FREDERICKSBURG RD, PHYSICIAN PRACTICE SERVICES, SAN ANTONIO, TX 78229-3311
(210) 575-3817
(210) 575-4113
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
K5002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149858605
—
TX
01
—
149858606
CSHCN
—
01
—
8BX130
BCBS
TX
01
—
8F9872
MEDICARE
TX
Enumeration date
05/01/2006
Last updated
01/02/2018
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