Individual
SHAWN FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-4701
Mailing address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Q2769
TX
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
Q2769
TX
Other
Enumeration date
04/19/2010
Last updated
10/09/2020
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