Individual
CORY SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
7300 BLANCO RD, SUITE 503, SAN ANTONIO, TX 78216-4936
(210) 733-0990
Mailing address
7300 BLANCO RD, SUITE 503, SAN ANTONIO, TX 78216-4936
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
00750
TX
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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