Individual provider · Type 1 NPI

Shannel Anyae Pegram, DO

Family Medicine Physician · Jbsa Lackland, TX

NPI number 1710248653 Active

Practice location

1100 Wilford Hall Loop # 4554
Jbsa Lackland, TX 78236-5638

Fax (210) 292-7934

Specialties and licenses

Taxonomy	Code	License
Occupational Medicine Physician	2083X0100X	183218 (NC)
Family Medicine Physician Primary	207Q00000X	183218 (NC)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

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About NPI 1710248653

Shannel Anyae Pegram, DO's National Provider Identifier is 1710248653, issued on Jun 7, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Jbsa Lackland, TX. The record was last updated on Jul 27, 2026.