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Sandra D Shaw

Registered Nurse, Administrator in San Antonio, TX. Individual provider (NPI-1).

NPI number1619703022
StatusActive
Last updated in NPPESSep 11, 2024

Details

NPI
1619703022
Entity type
Individual (NPI-1)
Name
Sandra D Shaw
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 11, 2024
Certification date
Sep 11, 2024
Last updated
Sep 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WA2000X Registered Nurse, Administrator702748TXYes

Practice location

7400 Merton Minter St
San Antonio, TX 78229-4404

Phone 210-617-5300

Mailing address

309 Oak Bend Dr
La Vernia, TX 78121-4503

Phone 210-846-2539

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