MEDICARE: CHRISTOPHER JOHN SHORROCK AG-ACNP

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	363LA2100X	Acute Care Nurse Practitioner	1229542	TX
2	163WC0200X	Critical Care Medicine Registered Nurse	946507	TX

General Provider Information

NPI Number	:	1851258560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER JOHN SHORROCK AG-ACNP

Provider Business Mailing Address
First Line	:	312 PECOS DR
Second Line	:
City	:	CRANDALL
State	:	TX
Zip	:	75114-2413
Country	:	US
Telephone Number	:	682-900-4174
Fax Number	:	682-900-4175

Provider Business Practice Location Address
First Line	:	2400 INTERSTATE 35 E
Second Line	:
City	:	WAXAHACHIE
State	:	TX
Zip	:	75165
Country	:	US
Telephone Number	:	469-843-4000
Fax Number	:

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

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	03/20/2026

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