Healthcare Provider Details

I. General information

NPI: 1104185453
Provider Name (Legal Business Name): SHAWN M FRANCIS CST, MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2012
Last Update Date: 07/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3062 PROVIDENCE OAK ST
HOUSTON TX
77084-3190
US

IV. Provider business mailing address

3062 PROVIDENCE OAK ST
HOUSTON TX
77084-3190
US

V. Phone/Fax

Practice location:
  • Phone: 832-998-9288
  • Fax:
Mailing address:
  • Phone: 832-998-9288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246ZX2200X
TaxonomyOrthopedic Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: