SHANNON C BOLINGER PA NPI 1780840264

NPI Information

  • NPI: 1780840264
  • Provider Name: SHANNON C BOLINGER, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7609 PRESTON RD
    STE 3500
    PLANO, TX
    ZIP 75024
  • Phone: (469) 303-4700

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NPI Details

Shannon C Bolinger, PA is a medical physician assistant in Plano, TX. Shannon C Bolinger, PA NPI is 1780840264. 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:

7609 PRESTON RD
STE 3500
PLANO, TX
ZIP 75024-214
Phone: (469) 303-4700
Fax: (469) 303-4230

The NPI 1780840264 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 8/4/2008 and was last updated on 5/23/2016.

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
1363AM0700XPhysician AssistantMedicalPA05806TEXASYes

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: 11/21/2025

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