Organization
TODD SHENKENBERG MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN SHENKENBERG (PRACTICE ADMINISTRATOR)
(956) 364-2131
Entity
Organization
Contact information
Practice address
1719 TREASURE HILLS BLVD., HARLINGEN, TX 78550-8912
(956) 364-2131
(956) 364-2141
Mailing address
1719 TREASURE HILLS BLVD., HARLINGEN, TX 78550-8912
(956) 364-2131
(956) 364-2141
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G0110
TX
363A00000X
Physician Assistant
PA01990
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129757100
VALLEY HEALTH PLAN
TX
05
—
156656401
—
TX
01
—
2606102
UNITED HEALTHCARE
TX
01
—
2640596
CIGNA
TX
01
—
436503
AETNA
TX
Enumeration date
09/24/2006
Last updated
05/08/2009
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