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Individual

JAE WOO SHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-6604
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-6604

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35069
NE

Other

Enumeration date
03/25/2021
Last updated
02/05/2023
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