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Individual

DR. JAMES HOWARD SHANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7000 NORTH MOPAC, SUITE #420, AUSTIN, TX 78731
(512) 482-0045
(412) 476-9892
Mailing address
7000 NORTH MOPAC, SUITE #420, AUSTIN, TX 78731
(512) 482-0045
(412) 476-9892

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L5557
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1779019-01
TX
05
177901901
TX
Enumeration date
06/29/2006
Last updated
02/14/2014
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