Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON ROBERTS
Active Sole ProprietorSHANNON ROBERTS is a Clinic/Center healthcare provider located in GRAND PRAIRIE, Texas. NPI 1568217784 is currently active in the NPPES registry. Verify at CMS.
Clinic/Center · GRAND PRAIRIE, TX
Registration Details
- NPI Number
- 1568217784
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 22, 2024 (2.3299416652198 yrs)
- Last Updated
- Apr 24, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
2307 OAK LN STE 120GRAND PRAIRIE, TX, 750514885Browse TX providers · Browse ZIP 75051
- Phone
- 4699995934
- Primary Specialty
-
Clinic/Center
261Q00000X
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.