Rebecca Shanesmith
Internist Dermatopathologist
1700 University Dr E
College Station
, Texas 77840
Rebecca Shanesmith
Internist Dermatopathologist
1700 University Dr E
College Station
, Texas 77840
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About
Features
Specialties
- Dermatopathologist
- Internist
Languages spoken
- English
Location
First Address
- Rebecca Shanesmith
- Po Box 844658
- Dallas, TX
- Zip : 75284-4658
- Phone :
Second Address
- Rebecca Shanesmith
- 1700 University Dr E
- College Station, TX
- Zip : 77840
- Fax : (979) 691-3527
- Phone : (979) 691-3000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0900X | Dermatopathologist | P8413 | TX |
| N | 207R00000X | Internist | 2014-00999 | NC |
| N | 111NI0900X | Internist | 2014-00999 | NC |
National Provider Identifier
| NPI | 1437390564 |
|---|---|
| Provider Name | Rebecca Shanesmith |
| First Address | Dallas, TX 75284-4658 |
| Second Address | College Station, TX 77840 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/03/2009 |
| Last Update Date | 16/10/2020 |
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.