Provider Demographics
NPI:1356726376
Name:GRUBBS, SHAWN (ARDMS, RVT, RDCS)
Entity type:Individual
Prefix:
First Name:SHAWN
Middle Name:
Last Name:GRUBBS
Suffix:
Gender:M
Credentials:ARDMS, RVT, RDCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16620 N US HIGHWAY 281
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-2327
Mailing Address - Country:US
Mailing Address - Phone:210-614-1231
Mailing Address - Fax:210-616-0704
Practice Address - Street 1:16620 US HWY 281N
Practice Address - Street 2:SUITE 300
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232
Practice Address - Country:US
Practice Address - Phone:210-614-1231
Practice Address - Fax:210-616-0704
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-21
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography