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Contact Information

SHAYLON D RETTIG, MD
333 N SANTA ROSA ST
SAN ANTONIO, TX78207-3108
 Phone: 210-704-4708
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

2080P0204X 37 Physician/Pediatric Medicine
 

Specialist

174400000X
 

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SHAYLON D RETTIG · (Male)

NPI # 1679595045
Status Active
Credentials MD
Entity Individual
Enumeration date 07/24/2006
Last updated 06/17/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • TX License # L9869
  • TX Medicaid 174284303
  • TX Medicaid PO#174284301
  • TX Other 184276701 GROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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