Basic Information
| Provider Information | |||||||||
| NPI: | 1407976459 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DRUMMOND | ||||||||
| FirstName: | SHAINA | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | UT SOUTHWESTERN MEDICAL CTR | ||||||||
| Address2: | P.O. BOX 845347 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752845347 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2146487833 | ||||||||
| FaxNumber: | 2146486799 | ||||||||
| Practice Location | |||||||||
| Address1: | UT SOUTHWESTERN MEDICAL CTR | ||||||||
| Address2: | 5323 HARRY HINES BLVD | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 753907201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2146487833 | ||||||||
| FaxNumber: | 2146486799 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/30/2007 | ||||||||
| LastUpdateDate: | 08/03/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | P3709 | TX | Y | Allopathic & Osteopathic Physicians | Anesthesiology | 207LP2900X | P3709 | TX | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
No ID Information.