Individual
MICHAEL THOMAS SHOFFEITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 743-6023
(210) 358-0647
Mailing address
7703 FLOYD CURL DR # 7982, SAN ANTONIO, TX 78229-3901
(210) 743-6023
(210) 358-0647
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
P7209
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323338901
—
TX
01
—
323338902
CSHCN
TX
Enumeration date
04/01/2010
Last updated
12/14/2018
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