Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANNON LEE GALLENTINE, DPM
Active Sole ProprietorDR. SHANNON LEE GALLENTINE, DPM is a Radiology Podiatrist healthcare provider located in MAYPEARL, Texas. NPI 1316957822 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · MAYPEARL, TX
Registration Details
- NPI Number
- 1316957822
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 8, 2006 (20.03118325981 yrs)
- Last Updated
- May 8, 2009
- License
-
1513 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
150 EUBANKS RDMAYPEARL, TX, 760641828Browse TX providers · Browse ZIP 76064
- Phone
- 4693839306
- Fax
- 9724352915
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
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.