SHASTA THEODORE MD
NPI 1275154882
Student in an Organized Health Care Education/Training Program in San Antonio, TX

Q: What is Shasta Theodore's NPI number?

The NPI number for Shasta Theodore is 1275154882. It was assigned to this individual provider in the NPPES registry on May 5, 2020.

Q: What is Shasta Theodore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Shasta Theodore was last updated on May 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 05, 2020

7703 FLOYD CURL DR # MC7750, SAN ANTONIO, TX 78229(936) 446-0466 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shasta Theodore Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHASTA THEODORE MD (NPI 1275154882) is an individual student in an organized health care education/training program in San Antonio, Texas and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1275154882

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSHASTA THEODORECredential: MD

Location Address7703 FLOYD CURL DR # MC7750San Antonio, TX 78229-3901

Mailing Address7703 Floyd Curl Dr # Mc7750San Antonio, TX 78229-3901 · (936) 446-0466

Phone(936) 446-0466

Sole ProprietorNo

Enumeration DateMay 5, 2020

NPPES CertifiedMay 5, 2020

✔ NPI 1275154882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

7703 FLOYD CURL DR # MC7750, San Antonio, TX 78229

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UTHSCSA

General Acute Care Hospital

7703 FLOYD CURL DR # MC7750, UTHSCSA, DEPT OF PATHOLOGY
SAN ANTONIO, TX 78229

Bexar County (210) 567-4003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shasta Theodore's NPI number?

The NPI number for Shasta Theodore is 1275154882. It was assigned to this individual provider in the NPPES registry on May 5, 2020.

Where is Shasta Theodore located?

Shasta Theodore practices at 7703 Floyd Curl Dr # Mc7750, San Antonio, TX 78229. The listed phone number is (936) 446-0466.

What is Shasta Theodore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shasta Theodore was last updated on May 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.