Shawn C. Nessen, DO
Surgery, Surgical Critical Care in Live Oak, TX. Individual provider (NPI-1).
NPI number1790742997
StatusActive
Last updated in NPPESApr 20, 2023
Details
- NPI
- 1790742997
- Entity type
- Individual (NPI-1)
- Name
- Shawn C. Nessen
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 1, 2006
- Certification date
- Apr 20, 2023
- Last updated
- Apr 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0102X | Surgery, Surgical Critical Care | S7106 | TX | Yes |
| 208600000X | Surgery | S7106 | TX | |
| 2086S0127X | Surgery, Trauma Surgery | S7106 | TX |
Practice location
12709 Toepperwein Rd Ste 302Live Oak, TX 78233-3260
Phone 210-653-9307 · Fax 210-653-7014
Mailing address
1701 W Charleston Blvd#215
Las Vegas, NV 89102-2325
Phone 702-671-2395 · Fax 702-382-5388
Other practice locations
800 E Dawson St
Tyler, TX 75701-2036
Tyler, TX 75701-2036
Phone 903-606-5864 · Fax 903-606-1930
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