Hayes, Shannon Kelly
Hayes, Shannon Kelly is an sole proprietor health care provider with primary practice located at 7900 Fannin St Suite 3300, Houston TX 77054-2934. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Hayes, Shannon Kelly can be contacted via phone (713) 630-0660.Contact Information
Primary practice address
7900 Fannin St Suite 3300
Houston TX 77054-2934
Phone: (713) 630-0660
Fax: (713) 796-2555
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | L6936 | Texas |
Profile Details
NPI number | 1952492837 |
---|---|
LBN Legal business name | Hayes, Shannon Kelly |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 27th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952492837 | NPPES |
Texas | MEDICAID | 178194001 | |
Texas | Other | 383729011 |
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