SHANNON C REPKA PA-C NPI 1063634897

NPI Information

Shannon C Repka, PA-C is a medical physician assistant in Dallas, TX with 10 years of experience. Shannon C Repka, PA-C NPI is 1063634897. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3600 GASTON AVE
STE 550
DALLAS, TX
ZIP 75246-800
Phone: (214) 820-1335

The NPI 1063634897 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 4/11/2022.

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:

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