MR. Shane Sullaway is a technician other in Grand Prairie, TX. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. MR. Shane Sullaway NPI is 1366738320. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2100 N HIGHWAY 360
STE. 1802
GRAND PRAIRIE, TX
ZIP 75050-011
Phone: (972) 647-8567
Fax: (972) 660-4548
The enumeration date for this NPI number is 6/28/2011 and was last updated on 6/28/2011.