Provider Demographics
NPI:1043243256
Name:SHEBETKA, KARRY ANN (DPM)
Entity Type:Individual
Prefix:DR
First Name:KARRY
Middle Name:ANN
Last Name:SHEBETKA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 NORTH MAIN, SECOND FLOOR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78205-1204
Mailing Address - Country:US
Mailing Address - Phone:210-237-4444
Mailing Address - Fax:210-828-5731
Practice Address - Street 1:9153 HUEBNER RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1502
Practice Address - Country:US
Practice Address - Phone:210-237-4444
Practice Address - Fax:210-616-0509
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1351213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113416506Medicaid
TX8CE403OtherBCBSTX
TX113416504Medicaid
TXU64602Medicare UPIN
TX8J3208Medicare PIN
TX113416502Medicaid