Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SHANE SULLAWAY

Active

Technician, Health Information · GRAND PRAIRIE, TX

Registration Details

NPI Number: 1366738320
Provider Type: Individual
Gender: Male
NPI Issued: Jun 28, 2011 (14.817918406733 yrs)
Last Updated: Jun 28, 2011

Practice Information

Address: 2100 N HIGHWAY 360

STE. 1802

GRAND PRAIRIE, TX, 750501011
Browse TX providers · Browse ZIP 75050
Phone: 9726478567
Fax: 9726604548
Primary Specialty: Technician, Health Information
247200000X

Other Technician, Health Information Providers in GRAND PRAIRIE, TX

Name	Credential	NPI
MR. GARY RODGERS	ATP	1639460462
RON SEELY	ATP, CRTS	1790077865
PAMELA MICHELE TORRES-WEST	CRTS, ATP	1548552698
MR. STEPHEN WALTER BREWTON	ATP	1336431410
RAYMOND DALE DESHAZER	ATP	1831625862
CHEYENNE N BARBER	ATP	1952063489

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.