Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Michael James Shannon, ATP

Individual provider Other Technician · NPI 1922480326

Mr. Michael James Shannon, ATP is an Other Technician in Tyler, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2015
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12406 State Highway 155 S
Tyler, TX 75703-6446
Phone: (903) 592-8931
Fax: (903) 592-8922
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X · Licence 85900 (TX)

Record details

NPI number1922480326
Entity typeIndividual (Type 1)
GenderMale
Credentials ATP
Sole proprietorYes
NPI enumeratedJune 22, 2015
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024

Other providers in Tyler