Individual
BOBBY GENE SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
107 INDUSTRIAL LOOP, FREDERICKSBURG, TX 78624-5401
(830) 997-8696
(830) 997-6311
Mailing address
819 WATER ST, SUITE 300, KERRVILLE, TX 78028-5333
(830) 792-3300
(830) 792-5771
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1068401
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1068401
PT LICENSE
TX
Enumeration date
02/06/2007
Last updated
07/08/2007
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