Provider Demographics
NPI:1285449421
Name:MCBRIDE, SHENIKA RENE (MSN, RN)
Entity type:Individual
Prefix:
First Name:SHENIKA
Middle Name:RENE
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5704 KNOLL PINES PASS
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78724-7502
Mailing Address - Country:US
Mailing Address - Phone:254-498-8462
Mailing Address - Fax:
Practice Address - Street 1:7400 LOUIS PASTEUR DR STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4510
Practice Address - Country:US
Practice Address - Phone:254-498-8462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX984437163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse