John W Shore in Austin - Ophthalmic Plastic And Reconstructive Surgery
John W Shore - NPI 1194716035
John W Shore is a Ophthalmic Plastic And Reconstructive Surgery in Austin, Texas. John W Shore practices all healthcare services and medical treatments related to Ophthalmic Plastic And Reconstructive Surgery. The NPI Number for John W Shore is 1194716035. The last update date is 2016-05-02.
John W Shore's current location address is 3705 Medical Pkwy, Austin, Texas. You can contact this provider via phone number 5124582141 and fax number 5124584824. The mailing address for John W Shore is 3705 Medical Pkwy, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John W Shore |
|---|---|
| Address | 3705 Medical Pkwy, Austin, Texas |
| Phone Number | 5124582141 |
| Fax Number | 5124584824 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1194716035 |
|---|---|
| Provider Enumeration Date | 2005-10-31 |
| Last Updated Date | 2016-05-02 |
Provider Mailing Address Detail
| Address | 3705 Medical Pkwy |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787051019 |
| Phone Number | 5124582141 |
| Fax Number | 5124584824 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmic Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 207Wx0200X |
| Licence No | F2001 |
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Definition: A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and la |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 124724903 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John W Shore by the Centers for Medicare & Medicaid Services?
The John W Shore has been assigned the NPI (National Provider Identifier) 1194716035. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where John W Shore's facilities are geographically located?
The facilities of John W Shore are physically situated at the following location: 3705 Medical Pkwy, Austin, TX, 787051019.
What is John W Shore's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John W Shore is Ophthalmic Plastic And Reconstructive Surgery, and the corresponding taxonomy classification code for this specialized field is 207Wx0200X.
On what date did John W Shore receive its 1194716035 assignment from the Centers for Medicare & Medicaid Services?
The John W Shore was assigned its 1194716035 on 2005-10-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to John W Shore most recently updated or revised?
The information pertaining to John W Shore, including its address, specialty, and other relevant details, was last updated or revised on 2016-05-02.