Shane T Mallon, MD

Diagnostic radiologist in Kerrville, Texas · NPI 1750709119

Shane Mallon is one of 117 diagnostic radiologists practicing in Kerrville, Texas. Shane Mallon practices with Peterson Medical Associates.

Registry record (NPPES)

NPI
1750709119
Type
Type 1 · Individual
Primary taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Address on file
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
(734) 936-4000
Enumerated
Apr 2, 2014
Record last updated
Sep 21, 2026
License states listed
FL, MI, ND, TX

Medicare (CMS)

Enrollment
Medicare-enrolled in AL, FL, MI, ND, TX
Diagnostic Radiology
Revalidation due
No date set by CMS

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Practice locations

More diagnostic radiologists in Kerrville

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.