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

Individual provider Physician Assistant · NPI 1831478965

Shannon Selbo, PA-C is a Physician Assistant in Southlake, Texas. Qualified in 2010, 16 years ago. Practices with Las Colinas Orthopedic Surgery and Sports Medicine PA, a 17-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
16
Licensed in
TX
In the registry since
2011
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

910 E Southlake Blvd
Southlake, TX 76092-6388
Phone: (817) 421-5000
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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 PA07219 (TX)

Record details

NPI number1831478965
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 7, 2011
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Las Colinas Orthopedic Surgery And Sports Medicine Pa — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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