Shaylon Dwayne Rettig in San Antonio - Sports Medicine
Shaylon Dwayne Rettig - NPI 1679595045
Shaylon Dwayne Rettig is a Sports Medicine in San Antonio, Texas. Shaylon Dwayne Rettig practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Shaylon Dwayne Rettig is 1679595045. The last update date is 2021-06-17.
Shaylon Dwayne Rettig's current location address is 333 N Santa Rosa St, San Antonio, Texas. You can contact this provider via phone number 2107044708. The mailing address for Shaylon Dwayne Rettig is 333 N Santa Rosa St, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shaylon Dwayne Rettig |
|---|---|
| Address | 333 N Santa Rosa St, San Antonio, Texas |
| Phone Number | 2107044708 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1679595045 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2021-06-17 |
Provider Mailing Address Detail
| Address | 333 N Santa Rosa St |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782073108 |
| Phone Number | 2107044708 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 2080S0010X |
| Licence No | L9869 |
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Definition: A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experien |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 174284303 | TX | -- | |
| PO#174284301 | TX | -- | |
| 184276701 | TX | GROUP |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shaylon Dwayne Rettig by the Centers for Medicare & Medicaid Services?
The Shaylon Dwayne Rettig has been assigned the NPI (National Provider Identifier) 1679595045 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Shaylon Dwayne Rettig's facilities are geographically located?
The facilities of Shaylon Dwayne Rettig are physically situated at the following location: 333 N Santa Rosa St, San Antonio, TX, 782073108.
What is the Shaylon Dwayne Rettig's area of specialization and corresponding taxonomy classification?
The Shaylon Dwayne Rettig's specialty field is Sports Medicine, and it falls under the taxonomy code 2080S0010X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1679595045 to Shaylon Dwayne Rettig?
The Shaylon Dwayne Rettig received its 1679595045 assignment from the Centers for Medicare & Medicaid Services on 2006-07-24.
When was the Shaylon Dwayne Rettig's information last updated?
The Shaylon Dwayne Rettig's information was last updated on 2021-06-17.
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