Dr. Shannon Elizabeth Ballard, D.C.
Chiropractor in San Antonio, TX. Individual provider (NPI-1).
NPI number1013255488
StatusActive
Last updated in NPPESAug 29, 2022
Details
- NPI
- 1013255488
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shannon Elizabeth Ballard
- Credential
- D.C.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2013
- Certification date
- Aug 29, 2022
- Last updated
- Aug 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 12221 | TX | Yes |
Other names
- Shannon Elizabeth Silva (Former Name)
Practice location
7180 Bandera RdSan Antonio, TX 78238-1295
Phone 210-521-6886 · Fax 210-521-6608
Mailing address
8 De Zavala PlShavano Park, TX 78231-1446
Phone 210-521-6886
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