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Individual

BRIAN JAY SHIMKUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3201 S AUSTIN AVE STE 315, GEORGETOWN, TX 78626-7642
(512) 358-9428
(737) 710-1920
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(394) 328-3312
(813) 321-1296

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
L5907
TX
207RX0202X
Medical Oncology Physician
Primary
L5907
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
157781901
TX
Enumeration date
12/14/2005
Last updated
07/14/2023
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