Shannon Lee Gallentine in Maypearl - Primary Podiatric Medicine

Shannon Lee Gallentine - NPI 1316957822

Shannon Lee Gallentine is a Primary Podiatric Medicine in Maypearl, Texas. Shannon Lee Gallentine practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Shannon Lee Gallentine is 1316957822. The last update date is 2009-05-08.

Shannon Lee Gallentine's current location address is 150 Eubanks Rd, Maypearl, Texas. You can contact this provider via phone number 4693839306 and fax number 9724352915. The mailing address for Shannon Lee Gallentine is 150 Eubanks Rd, Maypearl, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon Lee Gallentine
Address 150 Eubanks Rd, Maypearl, Texas
Phone Number 4693839306
Fax Number 9724352915
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1316957822
Provider Enumeration Date 2006-08-08
Last Updated Date 2009-05-08

Provider Mailing Address Detail

Address 150 Eubanks Rd
City Maypearl
State Texas (TX)
Post Code 760641828
Phone Number 4693839306
Fax Number 9724352915

Provider's Primary Taxonomy Detail

Speciality Primary Podiatric Medicine
Taxonomy 213Ep1101X
Licence No 1513
Definition:
A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities.

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FAQs about Shannon Lee Gallentine

What is the unique identifier code issued to Shannon Lee Gallentine by the Centers for Medicare & Medicaid Services (CMS)?

The Shannon Lee Gallentine has been assigned the NPI (National Provider Identifier) 1316957822. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Shannon Lee Gallentine?

The Shannon Lee Gallentine is physically situated at 150 Eubanks Rd, in the city of Maypearl, state of TX, with the postal code 760641828.

What is Shannon Lee Gallentine's area of expertise and its corresponding taxonomy classification?

The Shannon Lee Gallentine's field of specialization is Primary Podiatric Medicine, and it falls under the taxonomy code 213Ep1101X, which categorizes healthcare providers based on their areas of practice.

When did the Shannon Lee Gallentine receive its 1316957822?

The Shannon Lee Gallentine was issued its 1316957822 on 2006-08-08, which is the date when the organization was assigned this unique identifier.

When was the Shannon Lee Gallentine's information last updated?

The Shannon Lee Gallentine's information was last updated on 2009-05-08.

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