Gayles, Shannon K
Gayles, Shannon K is an sole proprietor health care provider with primary practice located at 10225 Wortham Blvd 15203, Houston TX 77065. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Pathology, which is considered as her primary health care specialty. Gayles, Shannon K can be contacted via phone (281) 942-6430.Contact Information
Primary practice address
10225 Wortham Blvd 15203
Houston TX 77065
Phone: (281) 942-6430
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Pathology | 246R00000X |
Profile Details
| NPI number | 1285203893 |
|---|---|
| LBN Legal business name | Gayles, Shannon K |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2021 |
| Last updated | Jun 25th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285203893 | NPPES |
| Texas | MEDICAID | 246R00000X |
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