Individual provider · Type 1 NPI
Shine John, DPM
Foot & Ankle Surgery Podiatrist · Austin, TX
NPI number
1245407295
Active
Practice location
11614 FM 2244 Rd Ste 150
Austin, TX 78738-5471
Fax (512) 399-5707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 016005365 (IL) |
| Podiatrist | 213E00000X | 1910 (TX) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 1910 (TX) |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
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About NPI 1245407295
Shine John, DPM's National Provider Identifier is 1245407295, issued on May 9, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Austin, TX. The record was last updated on Aug 16, 2022.