Individual
SHANE CAMERON EIZEMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11212 STATE HIGHWAY 151 STE 150, SAN ANTONIO, TX 78251-4505
(210) 630-4645
(210) 630-4646
Mailing address
400 CONCORD PLAZA DR STE 300, SAN ANTONIO, TX 78216-6991
(210) 804-5416
(210) 678-4142
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
T6225
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
T6225
TX
Other
Enumeration date
05/10/2016
Last updated
04/24/2025
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