Individual
MICHAEL SHANE MCKEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20079 STONE OAK PKWY, SUITE 1245, SAN ANTONIO, TX 78258-6942
(210) 545-0087
(210) 545-5455
Mailing address
PO BOX 790256, SAN ANTONIO, TX 78279-0256
(210) 545-0087
(210) 545-3455
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L5046
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
L5046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171244001
—
TX
01
—
L5046
LICENSE NUMBER
TX
Enumeration date
07/25/2006
Last updated
04/23/2013
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