MEDICARE: SHAWN M FRANCIS CST, MBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	3747P1801X	Personal Care Attendant
2	246ZX2200X	Orthopedic Assistant
3	246ZC0007X	Surgical Assistant	TX

General Provider Information

NPI Number	:	1104185453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWN M FRANCIS CST, MBA

Provider Business Mailing Address
First Line	:	3062 PROVIDENCE OAK ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-3190
Country	:	US
Telephone Number	:	832-998-9288
Fax Number	:

Provider Business Practice Location Address
First Line	:	3062 PROVIDENCE OAK ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-3190
Country	:	US
Telephone Number	:	832-998-9288
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2012
Last Update Date	:	07/20/2016

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