Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON FAGAN DOMANGUE, PA-C
Active Sole ProprietorSHANNON FAGAN DOMANGUE, PA-C is a Physician Assistant healthcare provider located in THE WOODLANDS, Texas. NPI 1215258819 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · THE WOODLANDS, TX
Registration Details
- NPI Number
- 1215258819
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 17, 2010 (16.145875415534 yrs)
- Last Updated
- Apr 18, 2017
- License
-
PA07397 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17450 ST LUKES WAY STE 290THE WOODLANDS, TX, 773848045Browse TX providers · Browse ZIP 77384
- Phone
- 2812968500
- Fax
- 2812968591
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in THE WOODLANDS, TX
| Name | Credential | NPI |
|---|---|---|
| LYNN P SARGENT | PA-C | 1124022934 |
| ASHLEY ANDERSON | PA-C | 1659366623 |
| GARY MISHOE | L.V.N., O.P.A.C. | 1700876976 |
| MR. LARRY LONG | PA-C | 1720040652 |
| LAURA EVERETT SHEFFER | PA | 1063446789 |
| CYNTHIA W ENGELKING | P.A.-C. | 1447344387 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.