Individual
DR. MOLLY DUDLEY SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3903 WISEMAN BLVD, SUITE # 215, SAN ANTONIO, TX 78251-4417
(210) 675-6724
(210) 675-1759
Mailing address
1355 CENTRAL PKWY S, STE 400, SAN ANTONIO, TX 78232-5057
(210) 349-9300
(210) 366-2558
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
P6271
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3233710-01
—
TX
Enumeration date
06/05/2009
Last updated
01/25/2019
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