Individual
JOHN M SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
PO BOX 34717, SAN ANTONIO, TX 78265-4717
(210) 615-1187
(210) 614-2180
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K6319
TX
207LP3000X
Pediatric Anesthesiology Physician
K6319
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1274813-03
—
TX
Enumeration date
07/25/2006
Last updated
05/22/2024
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