Individual
DR. COURTNEY MICHELLE SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P9733
TX
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
P9733
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372620001
—
TX
01
—
372620002
CSHCN
TX
Enumeration date
05/11/2011
Last updated
07/21/2022
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