person
Shasta Theodore, MD
Student in an Organized Health Care Education/Training Program in San Antonio, Texas
NPI 1275154882

Shasta Theodore is a Student in an Organized Health Care Education/Training Program based in San Antonio, TX. Shasta Theodore practices in San Antonio, TX and has the professional credentials of MD. The NPI Number for Shasta Theodore is 1275154882 and holds a License No. (Texas).

The current practice location address for Shasta Theodore is 7703 Floyd Curl Dr # Mc7750, San Antonio, TX and can be reached out via phone at 936-446-0466.

Location: 7703 Floyd Curl Dr # Mc7750, San Antonio, TX, 78229-3901
person
Provider Profile Details
NPI Number
1275154882
Provider Name
Shasta Theodore
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
7703 Floyd Curl Dr # Mc7750, San Antonio, TX, 78229-3901
Phone Number
936-446-0466
Fax Number
Provider Enumeration Date
05/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7703 Floyd Curl Dr # Mc7750
City
State
Zip
78229-3901
Phone Number
936-446-0466
Fax Number
person
Provider Business Mailing Address Details
Address
7703 Floyd Curl Dr # Mc7750
City
State
Zip
78229-3901
Phone Number
936-446-0466
Fax Number
person
Provider's Taxonomy Details 1
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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