Gary Wayne Shults

NPI 1063520989 - Dentist - 1223G0001X

NPI Details
NPI 1063520989
Gender Male
Enumeration Date 08/29/2006
Last Updated 04/15/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1114 AUSTIN HWY
SAN ANTONIO TX, 78209-4844, US
Phone (210) 824-4621
Fax (210) 826-7004
Business Location
1114 AUSTIN HWY
SAN ANTONIO TX, 78209-4844, US
Phone (210) 824-4621
Fax (210) 826-7004
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 15669
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According to our database, Dr. Gary Wayne Shults NPI is 1063520989, taxonomy code is 1223G0001X and license number is 15669, license state is located at Texas. Gary Wayne Shults physically located at 1114 Austin Hwy, San Antonio TX, 78209-4844. NPI Number Gary Wayne Shults has the Individual type.

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1063520989 NPI number is provided on an as is basis without warranty of any kind. 1063520989 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Wayne Shults are for informational purposes only.