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Dr. Shine John, DPM
Foot & Ankle Surgery Podiatrist in Austin, Texas
NPI 1245407295

Shine John is a Foot & Ankle Surgery Podiatrist based in Austin, TX and is specialized in Foot & Ankle Surgery. Shine John practices in Austin, TX and has the professional credentials of DPM. The NPI Number for Shine John is 1245407295 and holds a License No. 016005365 (Texas).

The current practice location address for Shine John is 11614 Fm 2244 Rd Ste 150, Austin, TX and can be reached out via phone at 512-399-5711 and via fax at 512-399-5707.

Location: 11614 Fm 2244 Rd Ste 150, Austin, TX, 78738-5471
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245407295
Provider Name
Shine John
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
11614 Fm 2244 Rd Ste 150, Austin, TX, 78738-5471
Phone Number
512-399-5711
Fax Number
512-399-5707
Provider Enumeration Date
05/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016005365 01 IL IL STATE LICENSE
1910 01 TX STATE OF TEXAS
institution
Provider Business Practice Location Address Details
Address
11614 Fm 2244 Rd Ste 150
City
Austin
State
Texas
Zip
78738-5471
Phone Number
512-399-5711
Fax Number
512-399-5707
person
Provider Business Mailing Address Details
Address
11614 Fm 2244 Rd Ste 150
City
Austin
State
Texas
Zip
78738-5471
Phone Number
512-399-5711
Fax Number
512-399-5707
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
1910 (Texas)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
016005365 (Illinois)
Definition
Definition to come...
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