Provider Demographics
NPI:1407171440
Name:SHOEMAKE, BRITTANY DIANE (MD, CWSP)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:DIANE
Last Name:SHOEMAKE
Suffix:
Gender:F
Credentials:MD, CWSP
Other - Prefix:DR
Other - First Name:BRITTANY
Other - Middle Name:DIANE
Other - Last Name:VASQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2000 TRANSMOUNTAIN RD STE B
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79911-3602
Mailing Address - Country:US
Mailing Address - Phone:214-673-1041
Mailing Address - Fax:
Practice Address - Street 1:2000 B TRANSMOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79911
Practice Address - Country:US
Practice Address - Phone:915-215-8400
Practice Address - Fax:915-612-9254
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP4824207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX323358706Medicaid
TX323358702Medicaid