Bagwell, Shannon

Bagwell, Shannon is an individual health care provider with primary practice located at 10133 Interstate 10 E , Baytown TX 77521. She recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Bagwell, Shannon can be contacted via phone (281) 576-0555.

Contact Information

Primary practice address
10133 Interstate 10 E Baytown TX 77521
Phone: (281) 576-0555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X 01061044A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 17878 Nevada
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M5621 Texas

Profile Details

NPI number 1194765263
LBN Legal business name Bagwell, Shannon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated May 14th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194765263 NPPES
Texas Other 8AK763 BCBSTX
Texas Other 1194765263 BCBSTX
Texas MEDICAID 189042802 BCBSTX
Texas MEDICAID 189042801 BCBSTX

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