MEDICARE: DR. JEFFREY M SHEAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	G2224	TX

General Provider Information

NPI Number	:	1922003128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY M SHEAR MD

Provider Business Mailing Address
First Line	:	7909 FREDERICKSBURG RD
Second Line	:	STE 150
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3400
Country	:	US
Telephone Number	:	210-521-7700
Fax Number	:	210-521-7710

Provider Business Practice Location Address
First Line	:	7909 FREDERICKSBURG RD
Second Line	:	STE 150
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3400
Country	:	US
Telephone Number	:	210-521-7700
Fax Number	:	210-521-7710

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	07/08/2007

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