Individual
DR. ILAINA S. SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K5690
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1441131-01
—
TX
01
—
260047469
RR/MEDICARE
TX
01
—
8B0457
BLUE SHIELD
TX
Enumeration date
03/31/2006
Last updated
10/16/2020
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