Shanks, Gary Edward

Shanks, Gary Edward is an individual health care provider with primary practice located at 810 W Highway 71 , Marble Falls TX 78654-8602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Shanks, Gary Edward can be contacted via phone (830) 201-8000.

Contact Information

Primary practice address
810 W Highway 71 Marble Falls TX 78654-8602
Fax: (830) 201-8008
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 32799 Iowa
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X N0454 Texas

Profile Details

NPI number 1275519985
LBN Legal business name Shanks, Gary Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Dec 16th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275519985 NPPES
Iowa MEDICAID 0196691

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