Organization
SHAMOON DOCTOR, MD PA
Active
Other names
Shamoon Doctor, MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMOOM DOCTOR MD (PHYSICIAN OWNER)
(830) 313-6032
Entity
Organization
Contact information
Practice address
612 N BEDELL AVE STE A, DEL RIO, TX 78840-4173
(830) 313-6032
Mailing address
804 EVENTIDE DR, SAN ANTONIO, TX 78209-5520
(830) 313-6032
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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