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1497136816
SHANE CONSTABLE
KYLE, TX
NPI
1497136816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX BP10054651)
Enumeration Date
2015-06-11
Last Update Date
2021-07-14
Business Address
SHANE CONSTABLE
4100 EVERETT DR STE 400
KYLE, TX 78640-6147
Phone number: 512-295-1333
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Mailing Address
SHANE CONSTABLE
6210 E HIGHWAY 290
AUSTIN, TX 78723-1142
Phone number: 512-483-9596
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