Shannon, Nick H

Shannon, Nick H is an sole proprietor health care provider with primary practice located at 3326 E Southcross Blvd , San Antonio TX 78223-1922. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Shannon, Nick H can be contacted via phone (210) 532-3216.

Contact Information

Primary practice address
3326 E Southcross Blvd San Antonio TX 78223-1922
Phone: (210) 532-3216
Fax: (210) 532-2262
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D2834 Texas
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X D2834 Texas
Allopathic & Osteopathic Physicians / General Practice 208D00000X D2834 Texas

Profile Details

NPI number 1619076114
LBN Legal business name Shannon, Nick H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Dec 3rd, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619076114 NPPES
Texas MEDICAID 092125601

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