Shine John, DPM

NPI 1245407295 · on the registry since 2008 · sole proprietor

Practice

Address: 11614 Fm 2244 Rd Ste 150
Austin, TX 78738
Phone: (512) 399-5711
Fax: (512) 399-5707
Organisation at this address: Shine Foot And Ankle Center
Privia Medical Group Gulf Coast, Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 213ES0103X
213ES0103X
Also registered as: 213E00000X
213E00000X
Licence states on file: IL, TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-08-16

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