Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | SHANNON GALES | TX |
NPI | 1043408297 |
---|---|
Provider Name | Shannon Yvette Gales |
First Address | Dallas, TX 75201-4327 |
Second Address | Dallas, TX 75201-4327 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2007 |
Last Update Date | 06/07/2011 |