Shavano Precision Laboratory, LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

SHAVANO PRECISION LABORATORY, LLC

Practice address

3603 Paesanos Pkwy
Suite 205B
San Antonio, TX 78231-1267

Phone

(210) 615-1901

Fax

(210) 615-1905

NPI assigned

Jun 15, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donna Marie Barry

Title

Practice Administrator

Phone

(210) 615-1901

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371254400000",
    "number": "1881033504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 PAESANOS PKWY",
            "address_2": "SUITE 205B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311267",
            "telephone_number": "210-615-1901",
            "fax_number": "210-615-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 PAESANOS PKWY",
            "address_2": "SUITE 205B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311267",
            "telephone_number": "210-615-1901",
            "fax_number": "210-615-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAVANO PRECISION LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-15",
        "last_updated": "2013-06-15",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "210-615-1901"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaun R Gifford DC
• Shavano Eye Center PLLC
• Shavano Family Practice PA
• Shavano Medical Management PLLC
• Shavano Park Family Dentistry, PA
• Shave Dental PLLC
• Shave Dental PLLC
• Shavon Mariah Social Services, PA
• Brittany Shaw-Antwine
• Stephanie Marie Shaw-Guzman, DNP, APRN, FNP-BC

• Pain Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pain Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.