N H SHANNON MD PA NPI 1386946903

NPI Information

NPI: 1386946903
Provider Name: N H SHANNON MD PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D0500982

Address:
3326 E SOUTHCROSS BLVD
SAN ANTONIO, TX
ZIP 78223
Phone: (210) 532-3216
Get Directions

N H SHANNON MD PA is a family medicine in San Antonio, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. N H SHANNON MD PA NPI is 1386946903. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3326 E SOUTHCROSS BLVD
SAN ANTONIO, TX
ZIP 78223-922
Phone: (210) 532-3216
Fax: (210) 532-6055

The provider's authorized official is Nick H Shannon .
The authorized official title is President and has the following contact phone number (210) 532-4555.

The CLIA number assigned to this NPI record is 45D0500982 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/2/2010 and was last updated on 12/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		D2834	TEXAS	No
2	207QG0300X	Family Medicine	Geriatric Medicine	D2834	TEXAS	No
3	207Q00000X	Family Medicine		D2834	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B26377	MEDICARE UPIN	TEXAS
2	092125601	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »