Nick H Shannon in San Antonio - General Practice
Nick H Shannon - NPI 1619076114
Nick H Shannon is a General Practice in San Antonio, Texas. Nick H Shannon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Nick H Shannon is 1619076114. The last update date is 2010-12-03.
Nick H Shannon's current location address is 3326 E Southcross Blvd, San Antonio, Texas. You can contact this provider via phone number 2105323216 and fax number 2105322262. The mailing address for Nick H Shannon is 3326 E Southcross Blvd, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nick H Shannon |
|---|---|
| Address | 3326 E Southcross Blvd, San Antonio, Texas |
| Phone Number | 2105323216 |
| Fax Number | 2105322262 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1619076114 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2010-12-03 |
Provider Mailing Address Detail
| Address | 3326 E Southcross Blvd |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782231922 |
| Phone Number | 2105323216 |
| Fax Number | 2105322262 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | D2834 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 92125601 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Nick H Shannon by the Centers for Medicare & Medicaid Services (CMS)?
The Nick H Shannon has been assigned the NPI (National Provider Identifier) 1619076114. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Nick H Shannon is geographically located?
The Nick H Shannon is physically situated at the following location: 3326 E Southcross Blvd, San Antonio, TX, 782231922.
What is Nick H Shannon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Nick H Shannon is General Practice, and the taxonomy classification code that categorizes this area of expertise is 208D00000X.
On what date did the Nick H Shannon receive its 1619076114 assignment from the Centers for Medicare & Medicaid Services?
The Nick H Shannon was assigned its 1619076114 by the Centers for Medicare & Medicaid Services on 2006-09-21.
When was the information related to Nick H Shannon most recently updated or refreshed?
The details pertaining to the Nick H Shannon, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-12-03.