Shannon Roberts
Shannon Roberts is a Clinic/Center in Grand Prairie, Texas. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2307 Oak Ln Ste 120Grand Prairie, TX 75051-4885
Phone: (469) 999-5934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1568217784 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 22, 2024 |
| Last updated in NPPES | April 24, 2024 |
| Certification date | April 24, 2024 |
| Mailing address | 2307 Oak Ln Ste 120, Grand Prairie, TX 75051-4885 |
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