Doctor, Shamoon A

Doctor, Shamoon A is an individual health care provider with primary practice located at 612 N Bedell Ave Ste A, Del Rio TX 78840. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Doctor, Shamoon A can be contacted via phone (830) 765-3153.

Contact Information

Primary practice address
612 N Bedell Ave Ste A Del Rio TX 78840
Phone: (830) 765-3153
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X F2437 Texas
Allopathic & Osteopathic Physicians / Urology 208800000X F2437 Texas

Profile Details

NPI number 1972539484
LBN Legal business name Doctor, Shamoon A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Apr 5th, 2020 - about 4 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972539484 NPPES
Texas MEDICAID 150283303
Texas Other P01314327
Texas MEDICAID 163208501
Texas MEDICAID 150283302

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