SHAWNEE WALLACE
Student in an Organized Health Care Education/Training Program

Address: 100 N Santa Rosa, San Antonio, TX 78207-3205

SHAWNEE WALLACE (NPI# 1861073694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861073694
Entity Type Individual
Full Name SHAWNEE WALLACE
Gender Female
Credential DO
Practice Address 100 N Santa Rosa
San Antonio
TX 78207-3205
Practice Telephone 2107043910
Mailing Address 1 Baylor Plz
Houston
TX 77030-3411
Mailing Telephone 7137985928
Certification Date 2021-04-14
Enumeration Date 2021-04-14
Last Update Date 2021-04-14
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 100 N SANTA ROSA
City SAN ANTONIO
State TX
Zip Code 78207-3205

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073991428 Richard Aaron Martinez Psychologist - Counseling 100 N Santa Rosa St, #923, San Antonio, TX 78207-3205 2015-05-18
1154745966 Diana Cavazos X Registered Nurse 100 N Santa Rosa St Ph 22, San Antonio, TX 78207-3284 2014-02-13

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1316534555 Adetutu A Ojei Pharmacist - Ambulatory Care 701 S. Zarzarmora, San Antonio, TX 78207 2020-12-22
1457999849 Eri Industries, LLC, Dba Eri Group Homes · Eri Group Homes Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2300 W. Commerce#216, San Antonio, TX 78207 2019-12-16
1164087854 Jesse G Trevino Student in an Organized Health Care Education/Training Program 700 S Zarzamora Ste 209, San Antonio, TX 78207 2019-05-08
1669036869 Anjali Patel Student in an Organized Health Care Education/Training Program 903 W. Martin Street, San Antonio, TX 78207 2019-04-24
1811488257 Thomas Ellis Tippit Sr. Dentist 711 North Frio St, San Antonio, TX 78207 2018-05-22
1245720911 Greater Medical Mission Group Pllc · Mission Medical Group Family Medicine 426 Castroville Rd Ste 3, San Antonio, TX 78207 2018-05-17
1518557602 City of San Antonio Metropolitan Health District Public Health or Welfare 1226 Nw 18th St Ste 113, San Antonio, TX 78207-1300 2021-01-22
1518529106 Sandra Anne Jones Counselor - Professional 601 N Frio St Bldg 1, San Antonio, TX 78207-3011 2019-07-03
1023608379 Jonathan Mendoza Home Health Aide 810 N Frio St Apt 408, San Antonio, TX 78207-3077 2021-01-21
1710501960 Emily Catherine Magness Genetic Counselor, MS 333 N Santa Rosa St Fl 2, San Antonio, TX 78207-3108 2020-06-03
Find all providers in zip 78207

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679153654 Genevieve Mariah Rebon · Genevieve Mariah Martin Student in an Organized Health Care Education/Training Program 4301 Broadway # St121, San Antonio, TX 78209-6318 2021-04-13
1235719303 Lizette Alejandra Lugo Student in an Organized Health Care Education/Training Program 9710 Via Belcara Apt 102, San Antonio, TX 78240-4491 2021-04-12
1376123794 Alejandro Sanchez Student in an Organized Health Care Education/Training Program 7703 Floyd Curl Dr Mc 7792, Dept of Psychiatry Residency Program, San Antonio, TX 78229 2021-04-09
1508445545 Ethan Hinds IIi Student in an Organized Health Care Education/Training Program 7703 Floyd Curl Dr # Mc, San Antonio, TX 78229-3901 2021-04-06
1508445909 Erika Durant Student in an Organized Health Care Education/Training Program 15806 Lomita Springs Dr, San Antonio, TX 78247-5607 2021-04-05
1679151716 Kaylyn Stork Student in an Organized Health Care Education/Training Program 13000 Vista Del Norte Apt 236, San Antonio, TX 78216-8044 2021-03-30
1568040905 Albert Viesca · Albert Viesca Student in an Organized Health Care Education/Training Program 23814 Tumbleweed Ln, San Antonio, TX 78264-9237 2021-03-29
1043898547 Austin Wharton Gay Student in an Organized Health Care Education/Training Program 7703 Floyd Curl Dr # 7736, San Antonio, TX 78229-3901 2021-03-29
1053999441 Alvaro Rene Saenz Student in an Organized Health Care Education/Training Program 703 E Hildebrand Ave, San Antonio, TX 78212-2535 2021-03-29
1437737988 Jacob Daniel Elliott Student in an Organized Health Care Education/Training Program 703 E Hildebrand Ave # 2306, San Antonio, TX 78212-2535 2021-03-29
Find all providers in SAN ANTONIO

Competitor

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City SAN ANTONIO
Zip Code 78207

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Dataset Information

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.