Casey, Shannon Lee

Casey, Shannon Lee is an individual health care provider with primary practice located at 3402 Inwood Cv , Round Rock TX 78681. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Casey, Shannon Lee can be contacted via phone (512) 944-3359.

Contact Information

Primary practice address
3402 Inwood Cv Round Rock TX 78681
Phone: (512) 944-3359
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J4026 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X J4026 Texas

Profile Details

NPI number 1083678072
LBN Legal business name Casey, Shannon Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jan 14th, 2014 - about 10 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 1083678072 NPPES
Texas Other 8P5147 BCBS
Texas Other 8S7665 BCBS
Texas MEDICAID 138691421 BCBS

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