Marilyn Gennedy Shook in Dallas - Physician Assistant
Marilyn Gennedy Shook - NPI 1750582847
Marilyn Gennedy Shook is a Physician Assistant in Dallas, Texas. Marilyn Gennedy Shook practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Marilyn Gennedy Shook is 1750582847. The last update date is 2020-02-25.
Marilyn Gennedy Shook's current location address is Po Box 644006, Dallas, Texas. You can contact this provider via phone number 2818292000 and fax number 2818292220. The mailing address for Marilyn Gennedy Shook is Po Box 644006, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marilyn Gennedy Shook |
|---|---|
| Address | Po Box 644006, Dallas, Texas |
| Phone Number | 2818292000 |
| Fax Number | 2818292220 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1750582847 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2020-02-25 |
Provider Mailing Address Detail
| Address | Po Box 644006 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752644006 |
| Phone Number | 2818292000 |
| Fax Number | 2818292220 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA05255 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8J7704 | TX | MEDICARE INDIVIDUAL PTAN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Marilyn Gennedy Shook?
The Marilyn Gennedy Shook has been issued the NPI (National Provider Identifier) 1750582847 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Marilyn Gennedy Shook's facilities are situated?
The facilities of Marilyn Gennedy Shook are physically located at the following address: Po Box 644006, Dallas, TX, 752644006.
What is Marilyn Gennedy Shook's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Marilyn Gennedy Shook is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1750582847 to Marilyn Gennedy Shook?
The Marilyn Gennedy Shook received its 1750582847 assignment from the Centers for Medicare & Medicaid Services on 2007-05-29.
When was the Marilyn Gennedy Shook's information last updated?
The Marilyn Gennedy Shook's information was last updated on 2020-02-25.