Individual
SHANE BURR PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DRIVE, INFECTIOUS DISEASE, JBSA-FORT SAM HOUSTON, TX 78234-6200
(210) 916-5554
(210) 916-5900
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-5554
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101255210
VA
207RI0200X
Infectious Disease Physician
Primary
0101255210
VA
208D00000X
General Practice Physician
0101255210
VA
390200000X
Student in an Organized Health Care Education/Training Program
0101255210
VA
Other
Enumeration date
06/15/2012
Last updated
07/08/2025
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