Jack Shirley is a General Practice in San Antonio, Texas. Jack Shirley practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jack Shirley is 1376715201. The last update date is 2008-04-01.
Jack Shirley's current location address is 7826 Louis Pasteur Ste 103, San Antonio, Texas. You can contact this provider via phone number 2106158357 and fax number 2106158359. The mailing address for Jack Shirley is 7826 Louis Pasteur Ste 103, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Shirley |
|---|---|
| Address | 7826 Louis Pasteur Ste 103, San Antonio, Texas |
| Phone Number | 2106158357 |
| Fax Number | 2106158359 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1376715201 |
|---|---|
| Provider Enumeration Date | 2008-04-01 |
| Last Updated Date | 2008-04-01 |
Provider Mailing Address Detail
| Address | 7826 Louis Pasteur Ste 103 |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782293410 |
| Phone Number | 2106158357 |
| Fax Number | 2106158359 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12068 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code issued to Jack Shirley by the Centers for Medicare & Medicaid Services?
The Jack Shirley has been assigned the NPI (National Provider Identifier) 1376715201 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jack Shirley?
The Jack Shirley is physically situated at 7826 Louis Pasteur Ste 103, in the city of San Antonio, state of TX, with the postal code 782293410.
What is the Jack Shirley's specialty and taxonomy code?
The Jack Shirley's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Jack Shirley receive the assignment of its 1376715201 from the Centers for Medicare & Medicaid Services?
The Jack Shirley was issued its 1376715201 by the Centers for Medicare & Medicaid Services on 2008-04-01.
As of what date were the Jack Shirley's details last updated?
The information pertaining to the Jack Shirley, including its address, specialty, and other details, was most recently updated on 2008-04-01.
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