| Jazmine Shaw, PT, DPT | |
|
1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 | |
| (210) 292-7412 | |
| Not Available |
| Full Name | Jazmine Shaw |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| 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 |
|---|---|---|---|
| 1417523382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1347036 (Texas) | Primary |
| Provider Name | Texas Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1790309656 PECOS PAC ID: 0648692723 Enrollment ID: O20200618000076 |
| Mailing Address | Practice Location Address |
|---|---|
| Jazmine Shaw, PT, DPT 7939 Sterling Mnr, Converse, TX 78109-3649 Ph: (210) 413-1289 | Jazmine Shaw, PT, DPT 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-7412 |
Dr. Jared Philip Bueche, PT, DPT, OCS, FAAOMP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-5040 | |
Ramiro Alexander Garrido, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-7964 | |
Gillian Marie Harper, PT, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-5040 | |
Dr. Kassidy M Kusak, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-566-9995 | |
Mr. Jeremiah Yanga Samson, PT, MSPT, OCS, COMT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-5040 | |
Allison Shea Gonzales, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6255 Fax: 210-292-7934 | |
Kyle Petrey, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 847-274-2794 |