Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | L2227 | TX |
N | 207QG0300X | Family Doctor - Geriatric Medicine | L2227 | TX |
N | 207V00000X | Obstetrician & Gynecologist | L2227 | TX |
NPI | 1306922356 |
---|---|
Provider Name | Shane Cash Driggs |
First Address | Corpus Christi, TX 78404-2334 |
Second Address | Corpus Christi, TX 78404-2334 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 26/05/2020 |