Bailey, Shane Michael
Bailey, Shane Michael is an individual health care provider with primary practice located at 479 Oxford Dr Ste 104 , New Braunfels TX 78130-7423. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Bailey, Shane Michael can be contacted via phone (830) 214-0300.Contact Information
Primary practice address
479 Oxford Dr Ste 104
New Braunfels TX 78130-7423
Phone: (830) 214-0300
Fax: (830) 214-0397
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | M6031 | Texas |
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | M6031 | Texas |
Profile Details
NPI number | 1437213337 |
---|---|
LBN Legal business name | Bailey, Shane Michael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 22nd, 2006 |
Last updated | Jul 28th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437213337 | NPPES |
Texas | MEDICAID | 190668702 | |
Texas | MEDICAID | 190668701 | |
Texas | Other | 451498YNTU | |
Texas | Other | P00470579 |
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