O'Roark, Shana S

O'Roark, Shana S is an individual health care provider with primary practice located at 1255 W 15Th St Ste 100 , Plano TX 75075-7262. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. O'Roark, Shana S can be contacted via phone (888) 562-5442.

Contact Information

Primary practice address
1255 W 15Th St Ste 100 Plano TX 75075-7262
Phone: (888) 562-5442
Fax: (562) 499-6171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 620562 Texas

Profile Details

NPI number 1093903270
LBN Legal business name O'Roark, Shana S
Credentials RN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2007
Last updated Sep 18th, 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 1093903270 NPPES
Texas MEDICAID 191807001

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