Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colton Shaner

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164285706

Colton Shaner is a Student in an Organized Health Care Education/Training Program in Jbsa Lackland, Texas. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2133 Pepperrell St Bldg 3352
Jbsa Lackland, TX 78236-5313
Phone: (210) 292-7269
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1164285706
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 6, 2024
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026
Mailing address1001 Shadow Ln, Las Vegas, NV 89106-4124

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