Individual provider · Type 1 NPI

Michael James Shannon, ATP

Other Technician · Tyler, TX

NPI number 1922480326 Active

Practice location

12406 State Highway 155 S
Tyler, TX 75703-6446

Call (903) 592-8931 Map

Fax (903) 592-8922

Mailing address

2407 Wsw Loop 323
Tyler, TX 75701

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000X85900 (TX)

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

2 other providers at this address

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About NPI 1922480326

Michael James Shannon, ATP's National Provider Identifier is 1922480326, issued on Jun 22, 2015. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Tyler, TX. The record was last updated on Aug 28, 2024.