Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Fagan Domangue, PA-C

Individual provider Physician Assistant · NPI 1215258819

Shannon Fagan Domangue, PA-C is a Physician Assistant in The Woodlands, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2010
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

17450 St Lukes Way Ste 290
The Woodlands, TX 77384-8045
Phone: (281) 296-8500
Fax: (281) 296-8591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA07397 (TX)

Record details

NPI number1215258819
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 17, 2010
Last updated in NPPESApril 18, 2017

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