Michael Douglas Shawn, MD | |
900 S Bryan Rd, Mission, TX 78572-6613 | |
(956) 580-9000 | |
Not Available |
Full Name | Michael Douglas Shawn |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 900 S Bryan Rd, Mission, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447232194 | NPI | - | NPPES |
8R0703 | Other | TX | BCBS |
152331801 | Medicaid | TX | |
152331804 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | L2004 (Texas) | Primary |
Entity Name | Rio Grande Valley Emergency Physicians Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801877212 PECOS PAC ID: 4688646755 Enrollment ID: O20040810000013 |
Mailing Address | Practice Location Address |
---|---|
Michael Douglas Shawn, MD 1201 S San Antonio Ave, San Juan, TX 78589-2541 Ph: (956) 369-1911 | Michael Douglas Shawn, MD 900 S Bryan Rd, Mission, TX 78572-6613 Ph: (956) 580-9000 |
Ted Shawn Sturdivant, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 S Bryan Rd, Mission, TX 78572 Phone: 956-580-9000 | |
Francisco Torres, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2004 Dorado Dr, Mission, Mission, TX 78573 Phone: 956-802-2266 | |
Nicholas Anthony Kevin Metcalf, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 S Bryan Rd, Mission, TX 78572 Phone: 956-580-9000 | |
Jorge Alejandro Roque, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 S Bryan Rd, Mission, TX 78572 Phone: 956-580-9000 | |
Oscar Tijerina, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 S Bryan Rd, Mission, TX 78572 Phone: 956-580-9000 | |
Olga Yuryevna Langley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 S Bryan Rd, Mission, TX 78572 Phone: 956-580-9000 |