Payseur, Shannon B
Payseur, Shannon B is an sole proprietor health care provider with primary practice located at 17051 Dallas Pkwy Ste 250 , Addison TX 75001-7121. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Payseur, Shannon B can be contacted via phone (972) 685-7330.Contact Information
Primary practice address
17051 Dallas Pkwy Ste 250
Addison TX 75001-7121
Phone: (972) 685-7330
Fax: (469) 666-1084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | M0858 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M0858 | Texas |
Profile Details
| NPI number | 1891869517 |
|---|---|
| LBN Legal business name | Payseur, Shannon B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Jun 12th, 2022 - about 3 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 | 1891869517 | NPPES |
| Texas | Other | 12529264 | CAQH PROVIDER # |
| Texas | MEDICAID | 218958101 | CAQH PROVIDER # |
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