Individual provider · Type 1 NPI
Shaun Michael Shore, PA-C
Surgical Physician Assistant · Prosper, TX
NPI number
1649299710
Active
Practice location
960 Caribou Dr
Prosper, TX 75078-7066
Fax (855) 299-6441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA04445 (TX) |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in Prosper
About NPI 1649299710
Shaun Michael Shore, PA-C's National Provider Identifier is 1649299710, issued on Jul 19, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Prosper, TX. The record was last updated on Sep 12, 2013.