KEATON SHIN (NPI# 1073131587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073131587 |
| Entity Type | Individual |
| Full Name | KEATON SHIN |
| Practice Address |
7123 Gallery Rdg San Antonio TX 78250-3305 |
| Practice Telephone | 5124849161 |
| Mailing Telephone | 5124849161 |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
7123 GALLERY RDG |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78250-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811504715 | Veronica Jolene Crenwelge | Licensed Vocational Nurse | 8218 Timber Grand, San Antonio, TX 78250 | 2020-09-25 |
| 1285299529 | Brenda Fernandez | Acupuncturist | 7623 Tezel Road, San Antonio, TX 78250 | 2019-05-02 |
| 1255855250 | Katie Elizabeth Hay | Pharmacist | 9255 Fm 471 W, San Antonio, TX 78250 | 2017-08-01 |
| 1093170086 | Urology Neuromonitoring, Pllc | Electrodiagnostic Medicine | 8407 Bandera Rd Ste 103-104, San Antonio, TX 78250 | 2015-12-18 |
| 1568843068 | Joseph Marvin Grote | Counselor | 8534 Timber Lodge, San Antonio, TX 78250 | 2015-06-11 |
| 1568801157 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 10715 Bandera Rd, San Antonio, TX 78250 | 2013-06-18 |
| 1619228947 | Urchna K. Morar | Optometrist | 9310 Guilbeau Rd, San Antonio, TX 78250 | 2012-09-26 |
| 1952666448 | Ec Bandera, LLC | Clinic/Center | 8703 Bandera Road, San Antonio, TX 78250 | 2012-07-10 |
| 1447512769 | Krystal Alexis Moya | Dentist | 8142 Tezel Road, San Antonio, TX 78250 | 2012-06-12 |
| 1497037683 | Lozie Bios | Registered Nurse | 9207 Ridgewilde, San Antonio, TX 78250 | 2011-09-13 |
| Find all providers in zip 78250 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1851909147 | Shayan Ahmed | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr # 7742, San Antonio, TX 78229-3901 | 2020-07-22 |
| 1306464524 | Nancy Mo | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio - Agdc, 8210 Floyd Curl Drive, Msc 8103, San Antonio, TX 78229-3923 | 2020-07-14 |
| 1619595154 | Sarah Connell | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Aegd, 8210 Floyd Curl Dr Msc 8103, San Antonio, TX 78229-3923 | 2020-07-10 |
| 1336767466 | Dalyssa Renee Gonzalez | Student in an Organized Health Care Education/Training Program | 24165 Ih 10 W Ste 125, San Antonio, TX 78257-1160 | 2020-07-06 |
| 1740807197 | Bradley James Miller | Student in an Organized Health Care Education/Training Program | 146 Agency Oaks, San Antonio, TX 78249-1538 | 2020-07-01 |
| 1396361085 | Tu Dao | Student in an Organized Health Care Education/Training Program | 8338 Hudson Holw, San Antonio, TX 78254-4588 | 2020-06-18 |
| 1386267730 | Juliana Gaviria Velasquez | Student in an Organized Health Care Education/Training Program | 5039 Hamilton Wolfe Rd Apt 1207, San Antonio, TX 78229-4457 | 2020-05-20 |
| 1477175065 | David Alonso Martinez | Student in an Organized Health Care Education/Training Program | 11659 Tribute Oaks, San Antonio, TX 78254-2103 | 2020-05-18 |
| 1396367975 | Jacob Daniel De La Garza | Student in an Organized Health Care Education/Training Program | 1415 N Main Ave Apt 1325, San Antonio, TX 78212-4306 | 2020-05-18 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78250 |
Please comment or provide details below to improve the information on KEATON SHIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.