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Dr. William Lee Shaffer
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. William Lee Shaffer |
| Gender: | M |
| Provider License Number If Given: | G0101 |
NPI Information:
| NPI: | 1972506913 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 5/23/2005 |
| Last Update Date: | 4/22/2020 |
Provider Business Mailing Address:
| Address: | 1521 S STAPLES ST STE 601 Corpus Christi, TX 78404 |
| Phone Number: | 3618878451 |
| Fax Number: | 3618876126 |
Provider Business Practice Location Address:
| Address: | 1521 S STAPLES ST STE 601 Corpus Christi, TX 78404 |
| Phone Number: | 3618878451 |
| Fax Number: | 3618876126 |
Provider Taxonomy:
| Primary: | 207RN0300X |
| Secondary (if any): | |
| State: | TX |
