Domangue, Shannon Fagan
Domangue, Shannon Fagan is an sole proprietor health care provider with primary practice located at 17450 St Lukes Way Ste 290 , The Woodlands TX 77384-8045. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Domangue, Shannon Fagan can be contacted via phone (281) 296-8500.Contact Information
Primary practice address
17450 St Lukes Way Ste 290
The Woodlands TX 77384-8045
Phone: (281) 296-8500
Fax: (281) 296-8591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA07397 | Texas |
Profile Details
| NPI number | 1215258819 |
|---|---|
| LBN Legal business name | Domangue, Shannon Fagan |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2010 |
| Last updated | Apr 18th, 2017 - about 7 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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