Individual provider · Type 1 NPI
Shannon C. Repka, PA-C
Medical Physician Assistant · Dallas, TX
NPI number
1063634897
Active
Practice location
3600 Gaston Ave, Ste 550
Dallas, TX 75246-1800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1063634897
Shannon C. Repka, PA-C's National Provider Identifier is 1063634897, issued on May 2, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dallas, TX. The record was last updated on Apr 11, 2022.