Shaylon Dwayne Rettig
M.D. | Pediatric Emergency Medicine | Male
Shaylon Dwayne Rettig, M.D. is a San Antonio, Texas based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Shaylon Dwayne Rettig is
333 N Santa Rosa St, San Antonio, Texas - 78207-3108. He can be contacted on phone at
210-704-4708.
Shaylon Dwayne Rettig is a sole proprietor of his business.
NPI number (Unique professional ID) for Shaylon Dwayne Rettig is
1679595045 which was assigned by NPPES on 24 Jul, 2006 and it was last updated on 17 Jun, 2021.
Shaylon Dwayne Rettig license number is
L9869 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Texas.
Shaylon Dwayne Rettig has special qualifications to manage emergencies in infants and children.
Complete Profile:
Shaylon Dwayne Rettig basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
|---|
| Provider Name : | Shaylon Dwayne Rettig |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Shaylon Dwayne Rettig address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 333 N Santa Rosa St
San Antonio, TX, 78207-3108
United States |
|---|
| Phone Number : | 210-704-4708 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1679595045 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 24 Jul, 2006 |
|---|
| Last Updated On : | 17 Jun, 2021 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shaylon Dwayne Rettig are as mentioned. Primary taxonomy code for Shaylon Dwayne Rettig, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 174400000X | Specialist | No | L9869 | TX |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | L9869 | TX |
| 2080S0010X | Pediatrics Sports Medicine | No | L9869 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Shaylon Dwayne Rettig such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 184276701 | Other | TX | GROUP |
| 174284303 | MEDICAID | TX | |
| PO#174284301 | MEDICAID | TX | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 315 N San Saba, Suite 1135
San Antonio, TX, 78207-3154
United States |
|---|
Business Location:
Patients can refer following map for directions to
Shaylon Dwayne Rettig practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.