DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHANE BLAKE ANDERSON, D.O.

Active Sole Proprietor

DR. SHANE BLAKE ANDERSON, D.O. is a Nuclear Medicine healthcare provider located in FORT SAM HOUSTON, Texas. NPI 1144208661 is currently active in the NPPES registry. Verify at CMS.

Nuclear Medicine · FORT SAM HOUSTON, TX

Registration Details

NPI Number
1144208661
Provider Type
Individual
Gender
Male
NPI Issued
Jan 4, 2006 (20.622756819016 yrs)
Last Updated
Dec 19, 2023
Licenses
378 (NE)
328507-1204 (UT)
378 (NE)
Sole Proprietor
Yes

Practice Information

Address
3551 ROGER BROOKE DR
BROOKE ARMY MEDICAL CENTER
FORT SAM HOUSTON, TX, 782344504
Browse TX providers · Browse ZIP 78234
Phone
2109164062
Primary Specialty
Nuclear Medicine
207U00000X
Additional Specialty
Nuclear Medicine
Additional Specialty
Nuclear Imaging & Therapy

Other Nuclear Medicine Providers in FORT SAM HOUSTON, TX

Name Credential NPI
DR. MICHEL-ALEXIS ROMAIN COURTINES M.D. 1962472365
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.