person
Dr. Monica Ellis Van Shufflin, MD
Student in an Organized Health Care Education/Training Program in San Antonio, Texas
NPI 1003508847

Monica Ellis Van Shufflin is a Student in an Organized Health Care Education/Training Program based in San Antonio, TX. Monica Ellis Van Shufflin practices in San Antonio, TX and has the professional credentials of MD. The NPI Number for Monica Ellis Van Shufflin is 1003508847 and holds a License No. (Texas).

The current practice location address for Monica Ellis Van Shufflin is 4502 Medical Dr, San Antonio, TX and can be reached out via phone at 815-901-3745.

Location: 4502 Medical Dr, San Antonio, TX, 78209-8395
person
Provider Profile Details
NPI Number
1003508847
Provider Name
Monica Ellis Van Shufflin
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4502 Medical Dr, San Antonio, TX, 78209-8395
Phone Number
815-901-3745
Fax Number
Provider Enumeration Date
05/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4502 Medical Dr
City
State
Zip
78229-4402
Phone Number
815-901-3745
Fax Number
person
Provider Business Mailing Address Details
Address
4502 Medical Dr
City
State
Zip
78229-4402
Phone Number
815-901-3745
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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