Individual provider · NPI-1
Shawn Toler, LSA
Specialist/Technologist, Other, Surgical Assistant · Bowie, MD
NPI number1194155028
StatusActive
Last updated in NPPESAug 28, 2026
Details
- NPI
- 1194155028
- Entity type
- Individual (NPI-1)
- Name
- Shawn Toler
- Credential
- LSA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2013
- Certification date
- Aug 28, 2026
- Last updated
- Aug 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | – | – | Yes |
Practice location
17001 Science DrBowie, MD 20715-4329
Phone 202-277-6460
Mailing address
2915 W Bitters Rd Ste 201San Antonio, TX 78248-2007
Phone 210-598-2800
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