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Individual

BRIAN TODD SHAFFER II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
903 W MARTIN ST # MS 49-2, SAN ANTONIO, TX 78207-0903
(201) 358-3441
(210) 358-5944
Mailing address
903 W MARTIN ST # MS 49-2, SAN ANTONIO, TX 78207-0903
(201) 358-0572
(210) 358-5940

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
U8436
TX
261QU0200X
Urgent Care Clinic/Center
U8436
TX
363LF0000X
Family Nurse Practitioner
Primary
U8436
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
207Q00000X
FAMILY MEDICINE
VA
Enumeration date
05/25/2021
Last updated
04/21/2026
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