Individual
TIM SHUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4711 SID KATZ DR, SAN ANTONIO, TX 78229-3370
(210) 397-2401
Mailing address
4711 SID KATZ DR, SAN ANTONIO, TX 78229-3370
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0655730-01
—
TX
Enumeration date
11/02/2022
Last updated
11/02/2022
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