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Keaton Shin

NPI 1073131587 · on the registry since 2020 · sole proprietor

Practice

Address
17315 Arcata Ave
Pflugerville, TX 78660
Phone
(512) 484-9161

Registry record

Primary taxonomy
1223P0221X
1223P0221X
Also registered as
122300000X
390200000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-19

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