Individual
DR. SHANE MICHAEL BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
545 CREEKSIDE XING STE 222, NEW BRAUNFELS, TX 78130-4565
(830) 287-3133
Mailing address
PO BOX 5730, BELFAST, ME 04915-5700
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
M6031
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
166718
MT
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
M6031
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190668701
—
TX
05
—
190668702
—
TX
01
—
451498YNTU
MEDICARE PROVIDER NUMBER:
TX
01
—
P00470579
MEDICARE RAILROAD
TX
Enumeration date
12/22/2006
Last updated
04/09/2026
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