Individual
REBECCA SHANESMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 UNIVERSITY DR E, COLLEGE STATION, TX 77840
(979) 691-3000
(979) 691-3527
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
P8413
TX
207R00000X
Internal Medicine Physician
2014-00999
NC
Other
Enumeration date
03/19/2009
Last updated
10/16/2020
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