Dr. Shane D Jensen
Trauma Surgeon Surgical Critical Care
3551 Roger Brooke Dr
Fort Sam Houston
, Texas 78234-4504
Dr. Shane D Jensen
Trauma Surgeon Surgical Critical Care
3551 Roger Brooke Dr
Fort Sam Houston
, Texas 78234-4504
(757) 451-6251
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About
Features
Specialties
- Surgical Critical Care
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- Dr. Shane D Jensen
- Po Box 936
- Norfolk, VA
- Zip : 23501-0936
- Fax : (757) 451-6251
- Phone : (757) 451-6266
Second Address
- Dr. Shane D Jensen
- 3551 Roger Brooke Dr
- Fort Sam Houston, TX
- Zip : 78234-4504
- Phone : (210) 539-9582
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0102X | Surgical Critical Care | 0101262983 | VA |
| Y | 2086S0127X | Trauma Surgeon | Q4994 | TX |
National Provider Identifier
| NPI | 1164585154 |
|---|---|
| Provider Name | Dr. Shane D Jensen |
| First Address | Norfolk, VA 23501-0936 |
| Second Address | Fort Sam Houston, TX 78234-4504 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/12/2006 |
| Last Update Date | 25/06/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.