Provider Demographics
NPI:1306922356
Name:DRIGGS, SHANE CASH (MD)
Entity type:Individual
Prefix:
First Name:SHANE
Middle Name:CASH
Last Name:DRIGGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1015 SANTA FE ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-2334
Mailing Address - Country:US
Mailing Address - Phone:361-993-1083
Mailing Address - Fax:361-452-4960
Practice Address - Street 1:1015 SANTA FE ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-2334
Practice Address - Country:US
Practice Address - Phone:361-993-1083
Practice Address - Fax:361-452-4960
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL2227207V00000X, 207Q00000X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine