Vickie R. Shannon
Pulmonary Disease
1515 Holcombe Blvd
Houston
, Texas 77030-4009
Vickie R. Shannon
Pulmonary Disease
1515 Holcombe Blvd
Houston
, Texas 77030-4009
(713) 792-2991
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About
Features
Specialties
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Vickie R. Shannon
- Po Box 4439
- Houston, TX
- Zip : 77210-4439
- Phone : (713) 792-2991
Second Address
- Vickie R. Shannon
- 1515 Holcombe Blvd
- Houston, TX
- Zip : 77030-4009
- Phone : (713) 792-6161
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What type of doctor is Vickie R. Shannon
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RP1001X | Pulmonary Disease | G7762 | TX |
National Provider Identifier
| NPI | 1013003151 |
|---|---|
| Provider Name | Vickie R. Shannon |
| First Address | Houston, TX 77210-4439 |
| Second Address | Houston, TX 77030-4009 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2006 |
| Last Update Date | 29/06/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 103260901 | (05) | TX |
| 110064818 | RR MEDICARE (01) | TX |
| 82M149 | BCBS (01) | TX |
| E61049 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.