Individual
DR. KENNETH MARK SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4314 MEDICAL PKWY, STE 200, AUSTIN, TX 78756-3334
(512) 454-1110
Mailing address
4314 MEDICAL PKWY STE 200, AUSTIN, TX 78756-3332
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
J2908
TX
Other
Enumeration date
04/12/2006
Last updated
07/09/2007
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