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Shawn Waddell
NPI 1134987993 · on the registry since 2024
Practice
- Address
- 7915 Melbury Frst
San Antonio, TX 78239 - Phone
- (818) 466-4878
Additional practice sites
- 1800 Vine St, Los Angeles, CA
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas