| Doctor Name: | MR. CRAIG WILLIAM SHAHAN |
| NPI Number: | 1073618906 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 252699 |
| Business Practice Address: | 3600 Memorial Blvd Kerrville, TX - 780285768 |
| Business Phone Number: | 8308962020 |
| Business Fax Number: | 8307922447 |
| Mailing Address: | 170 Forest Cir, KERRVILLE |
| State: | TX |
| Postal Code: | 780289614 |
| Phone Number: | 8307922489 |
| Fax Number: | |
| NPI Enumeration Date: | 09/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP2201X |
| License Number: | 252699 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Ambulatory Care |
| Taxonomy Definition: | |