Healthcare Provider Details

I. General information

NPI: 1245982131
Provider Name (Legal Business Name): SHANA SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2022
Last Update Date: 01/21/2022
Certification Date: 01/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 LOVETT BLVD
HOUSTON TX
77006-3908
US

IV. Provider business mailing address

900 LOVETT BLVD
HOUSTON TX
77006-3908
US

V. Phone/Fax

Practice location:
  • Phone: 832-457-5046
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ADAM LEVI TROTTA
Title or Position: OWNER PHYSICIAN
Credential: MD
Phone: 832-615-2591