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NPI Code Detail

MEDICARE: EDWARD STANTON SHOEMAKER MD

MEDICARE: EDWARD STANTON SHOEMAKER 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
1207VB0002XObesity Medicine (Obstetrics & Gynecology) PhysicianE1133TX
2207V00000XObstetrics & Gynecology PhysicianE1133TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437153400
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD STANTON SHOEMAKER MD
Provider Business Mailing Address
First Line : 5920 SARATOGA BLVD
Second Line : STE 101
City : CORPUS CHRISTI
State : TX
Zip : 78414-4105
Country : US
Telephone Number : 361-993-6000
Fax Number : 361-993-3676
Provider Business Practice Location Address
First Line : 7121 S SPID DR
Second Line : STE 200
City : CORPUS CHRISTI
State : TX
Zip : 78412-4940
Country : US
Telephone Number : 361-993-6000
Fax Number : 361-993-3676
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 01/23/2020

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Directions to “ EDWARD STANTON SHOEMAKER MD” Practice Location

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