Vickie R. Shannon, M.D.
Internal Medicine, Pulmonary Disease in Houston, TX. Individual provider (NPI-1).
NPI number1013003151
StatusActive
Last updated in NPPESJun 29, 2012
Details
- NPI
- 1013003151
- Entity type
- Individual (NPI-1)
- Name
- Vickie R. Shannon
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2006
- Last updated
- Jun 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | G7762 | TX | Yes |
Practice location
1515 Holcombe BlvdHouston, TX 77030-4009
Phone 713-792-6161
Mailing address
Po Box 4439Houston, TX 77210-4439
Phone 713-792-2991
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