Individual
SHAWN K PURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3800 S W S YOUNG DR STE 201, KILLEEN, TX 76542-3340
(254) 245-9175
(254) 213-7771
Mailing address
PO BOX 11538, KILLEEN, TX 76547-1538
(254) 245-9175
(254) 245-9178
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
T8315
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2J2738
TEXAS MEDICARE
TX
01
—
T8315
TEXAS MEDICAL LICENSE
TX
Enumeration date
04/28/2011
Last updated
10/22/2024
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