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General NPI Number Information
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NPI Number | 1720052699
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Entity Type | Individual
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Provider Name | DONNA ARLENE SHANNON M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 04/06/2016
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Provider Practice Location Address
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Address Line | 345 N HIGHWAY 67
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City | CEDAR HILL
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State | TX
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Zip | 75104-2134
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Country | US
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Telephone | 972-956-5300
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Fax | 972-956-5393
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Provider Business Mailing Address
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Address Line | PO BOX 9101
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City | COPPELL
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State | TX
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Zip | 75019-9494
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Country | US
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Telephone | 972-745-7500
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Fax | 972-471-0700
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L1743
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License Number State | TX
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