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

MS. Shannon R Mahoney, PA-C

Individual provider Medical Physician Assistant · NPI 1093700858

MS. Shannon R Mahoney, PA-C is a Physician Assistant in Dallas, Texas. Qualified in 2004, 22 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group and accepts Medicare assignment. Licensed in Illinois and Texas.

Years since qualifying
22
Licensed in
IL, TX
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5323 Harry Hines Blvd
Dallas, TX 75390-7208
Phone: (214) 645-4673
Fax: (214) 645-2615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA07353 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085002384 (IL)

Record details

NPI number1093700858
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 16, 2005
Last updated in NPPESDecember 20, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations15 on file with Medicare

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