Provider Demographics
NPI:1184700221
Name:COMPTON, SHON DAVID (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MR
First Name:SHON
Middle Name:DAVID
Last Name:COMPTON
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Gender:M
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:225 CORSICA DR
Mailing Address - Street 2:
Mailing Address - City:CIBOLO
Mailing Address - State:TX
Mailing Address - Zip Code:78108-4249
Mailing Address - Country:US
Mailing Address - Phone:210-566-6941
Mailing Address - Fax:210-221-5772
Practice Address - Street 1:GARDEN AVE
Practice Address - Street 2:MCWETHY TROOP MEDICAL CLINIC, BROOK ARMY MEDICAL CENTER
Practice Address - City:FT. SAM HOUSTON, SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78234
Practice Address - Country:US
Practice Address - Phone:210-295-4958
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical