MEDICARE: BRITTANY SHANNON DC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NP0017X	Pediatric Chiropractor	14143	TX

General Provider Information

NPI Number	:	1093303406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY SHANNON DC

Provider Business Mailing Address
First Line	:	46 S BETHANY BEND CIR
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77382-1388
Country	:	US
Telephone Number	:	214-356-4023
Fax Number	:

Provider Business Practice Location Address
First Line	:	26406 OAK RIDGE DR STE 101
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77380-1965
Country	:	US
Telephone Number	:	832-813-8451
Fax Number	:

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

Provider Enumeration Date	:	01/02/2021
Last Update Date	:	01/02/2021

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Directions to “ BRITTANY SHANNON DC” Practice Location

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