Organization
TWSSC RECONSTRUCTIVE SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT ANDREW SHOOK MD (PRESIDENT)
(281) 364-8844
Entity
Organization
Contact information
Practice address
8850 SIX PINES DRIVE, SUITE 270, THE WOODLANDS, TX 77380-2683
(281) 364-8844
(281) 364-8833
Mailing address
8850 SIX PINES DRIVE, SUITE 270, THE WOODLANDS, TX 77380-2683
(281) 364-8844
(281) 364-8833
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
12/27/2007
Last updated
02/27/2008
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