Search › Missouri › 208M00000X
Andrew Shore
NPI 1174028120 · on the registry since 2018 · sole proprietor
Practice
- Address
- 2906 Nw Vivion Rd
Riverside, MO 64150 - Phone
- (816) 599-5050
- Clinicians at this address
- 2
Additional practice sites
- 17200 St Lukes Way, The Woodlands, TX
Registry record
- Primary taxonomy
- 208M00000X
208M00000X
- Also registered as
- 207R00000X
207R00000X
208000000X - Licence states on file
- TX, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-15
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 Missouri