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

SHANNON WAYNE CADDELL

Active

SHANNON WAYNE CADDELL is a Geriatric Pharmacist healthcare provider located in PARADISE, Texas. NPI 1437742384 is currently active in the NPPES registry. Verify at CMS.

Geriatric Pharmacist · PARADISE, TX

Registration Details

NPI Number
1437742384
Provider Type
Individual
Gender
Male
NPI Issued
Feb 11, 2021 (5.5148723217881 yrs)
Last Updated
Feb 11, 2021
License
37247 (TX)

Practice Information

Address
181 PRIVATE ROAD 3454
PARADISE, TX, 760732447
Browse TX providers · Browse ZIP 76073
Phone
6822251975
Primary Specialty
Geriatric Pharmacist
1835G0303X
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.