Individual
DR. MICHAEL SHANE GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG WILFORD, JBSA LACKLAND, TX 78236-5638
(210) 292-7759
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-9946
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01054120A
IN
207L00000X
Anesthesiology Physician
48430
CO
207L00000X
Anesthesiology Physician
Primary
S3816
TX
Other
Enumeration date
03/09/2006
Last updated
03/09/2023
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