MR. MICHAEL JAMES SHANNON ATP
NPI 1922480326
Technician, Other in Tyler, TX
- Individual
- Male
- Technician, Other
About MICHAEL SHANNON
This page provides the complete NPI Profile along with additional information for Michael Shannon, a provider established in Tyler, Texas with a medical specialization in Technician, Other. The healthcare provider is registered in the NPI registry with number 1922480326 assigned on June 2015. The practitioner's primary taxonomy code is 247200000X with license number 85900 (TX). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1922480326 Verify this NPI
- Provider Name
- MR. MICHAEL JAMES SHANNON ATP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 12406 STATE HIGHWAY 155 S TYLER, TX 75703
- Location Phone
- (903) 592-8931
- Location Fax
- (903) 592-8922
- Mailing Address
- 2407 WSW LOOP 323 TYLER, TX 75701
- Mailing Phone
- (903) 581-8844
- Mailing Fax
- (909) 581-9845
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-22-2015
- Last Update Date
- 08-28-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Technician, Other
- Taxonomy Code
- 247200000X
- Type
- Technologists, Technicians & Other Technical Service Providers
- License No.
- 85900
- License State
- TX
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
TYLER, TX 75703
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922480326, enumerated as an "individual" on June 22, 2015.
The provider is located at 12406 STATE HIGHWAY 155 S TYLER, TX 75703 and the phone number is (903) 592-8931.
Technician, Other with taxonomy code 247200000X.
