| Dr Krista Marie Shaw, MD | |
|
1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 | |
| (210) 292-4278 | |
| Not Available |
| Full Name | Dr Krista Marie Shaw |
|---|---|
| Gender | Female |
| Speciality | Allergy & Immunology |
| Location | 1100 Wilford Hall Loop, Jbsa Lackland, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902427016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | 30222 (Mississippi) | Primary |
| 207R00000X | Internal Medicine | 30222 (Mississippi) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Krista Marie Shaw, MD 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-4278 | Dr Krista Marie Shaw, MD 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-4278 |
David Christopher Mari, D.O. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6255 Fax: 210-292-7934 | |
Dr. Vishaka Ravishankar Hatcher, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-6170 | |
Dr. Derek Smith, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6255 Fax: 210-292-7934 |