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Dr. Matthew Wilson Van Shufflin, MD
Military Health Care Provider in Jbsa Ft Sam Houston, Texas
NPI 1669171864

Matthew Wilson Van Shufflin is a Military Health Care Provider based in Jbsa Ft Sam Houston, TX. Matthew Wilson Van Shufflin practices in Jbsa Ft Sam Houston, TX and has the professional credentials of MD. The NPI Number for Matthew Wilson Van Shufflin is 1669171864 and holds a License No. (Texas).

The current practice location address for Matthew Wilson Van Shufflin is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX and can be reached out via phone at 210-916-8666.

Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX, 78234-4504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669171864
Provider Name
Matthew Wilson Van Shufflin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX, 78234-4504
Phone Number
210-916-8666
Fax Number
Provider Enumeration Date
02/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3551 Roger Brooke Dr
City
Jbsa Ft Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-916-8666
Fax Number
person
Provider Business Mailing Address Details
Address
3551 Roger Brooke Dr
City
Jbsa Ft Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-916-8666
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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