Individual
SHANNON MICHELLE KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(361) 694-4700
(361) 808-2156
Mailing address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(361) 694-4700
(361) 808-2156
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
S3543
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4040651
—
TX
Enumeration date
06/12/2009
Last updated
04/16/2025
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