MEDICARE: SHANNON MARIE LOPEZ

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1689369704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON MARIE LOPEZ

Provider Business Mailing Address
First Line	:	1834 DELWOOD DR
Second Line	:
City	:	ABILENE
State	:	TX
Zip	:	79603-2431
Country	:	US
Telephone Number	:	325-721-5477
Fax Number	:

Provider Business Practice Location Address
First Line	:	1834 DELWOOD DR
Second Line	:
City	:	ABILENE
State	:	TX
Zip	:	79603-2431
Country	:	US
Telephone Number	:	325-721-5477
Fax Number	:

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

Provider Enumeration Date	:	04/05/2023
Last Update Date	:	04/05/2023

Similar Medicare Providers

1780680439 — DR. CHARLES W FULLER M.D.
Practice Location Address:

1933 PINE ST , STE B
ABILENE, TX
79601-2431

Practice Phone: 325-675-0338
Practice Fax: 325-676-5049

1437151842 — MARK S MAXWELL DO
Practice Location Address:

1933 PINE ST , STE A
ABILENE, TX
79601-2431

Practice Phone: 325-674-9494
Practice Fax: 325-674-9493

1538141817 — MS. REBECCA REYES MD
Practice Location Address:

1933 PINE ST
ABILENE, TX
79601-2431

Practice Phone: 325-692-0626
Practice Fax: 325-692-0638

1568617512 — ABILENE FAMILY HEALTH CARE, P.A.
Practice Location Address:

1933 PINE ST , SUITE B
ABILENE, TX
79601-2431

Practice Phone: 325-675-0338
Practice Fax: 325-672-5049

1265723472 — ABILENE ENDOCRINOLOGY, P.A.
Practice Location Address:

1933 PINE ST , SUITE B
ABILENE, TX
79601-2431

Practice Phone: 325-675-0338
Practice Fax: 325-616-5049

1508145871 — CHARLES W. FULLER, MD
Practice Location Address:

1933 PINE ST , SUITE B
ABILENE, TX
79601-2431

Practice Phone: 325-675-0338
Practice Fax: 325-676-5049

Directions to “ SHANNON MARIE LOPEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.