Individual
DR. SHAMOON A DOCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
612 N BEDELL AVE, STE A, DEL RIO, TX 78840
(830) 765-3153
Mailing address
612 N BEDELL AVE, STE A, DEL RIO, TX 78840
(830) 765-3153
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
F2437
TX
208800000X
Urology Physician
Primary
F2437
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150283302
—
TX
05
—
150283303
—
TX
05
—
163208501
—
TX
01
—
P01314327
MEDICARE RR
TX
Enumeration date
06/25/2006
Last updated
04/05/2020
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