Dr. Shane D Jensen, MD
Surgery, Trauma Surgery in Fort Sam Houston, TX. Individual provider (NPI-1).
NPI number1164585154
StatusActive
Last updated in NPPESJul 16, 2026
Details
- NPI
- 1164585154
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shane D Jensen
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2006
- Certification date
- Jul 16, 2026
- Last updated
- Jul 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0127X | Surgery, Trauma Surgery | q4994 | TX | Yes |
| 2086S0102X | Surgery, Surgical Critical Care | 0101262983 | VA |
Practice location
3551 Roger Brooke DrFort Sam Houston, TX 78234-4504
Phone 210-539-9582
Mailing address
3551 Roger Brooke DrFort Sam Houston, TX 78234-4504
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