| Doctor Name: | DR. MICHAEL TODD SHOEMAKER |
| NPI Number: | 1134339823 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 0101234470 |
| Business Practice Address: | 11511 Paynes Gray Helotes, TX - 780234645 |
| Business Phone Number: | 2106954284 |
| Business Fax Number: | |
| Mailing Address: | 11511 Paynes Gray, HELOTES |
| State: | TX |
| Postal Code: | 780234645 |
| Phone Number: | 2106954284 |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 02/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | 0101234470 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |