Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | R5038 | TX |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | R5038 | TX |
NPI | 1164499653 |
---|---|
Provider Name | Dr. Naomi N Shields |
First Address | San Antonio, TX 78265-9506 |
Second Address | San Antonio, TX 78258-4210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2006 |
Last Update Date | 19/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3819674-01 | (05) | TX |
E95185 | (02) | KS |