Individual provider · Type 1 NPI

Shannon McDermott Elliott, PA-C

Surgical Physician Assistant · Houston, TX

NPI number 1790443422 Active

Practice location

2900 Richmond Ave
Houston, TX 77098-3106

Mailing address

3111 Rowhouse Ln
Houston, TX 77080-1109

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA15204 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1790443422

Shannon McDermott Elliott, PA-C's National Provider Identifier is 1790443422, issued on Nov 30, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Houston, TX. The record was last updated on Nov 30, 2021.