DR. Jacky Dwayne Shannon M.D.

  • NPI 1265510218
According to our database, the NPI number for DR. Jacky Dwayne Shannon M.D. is 1265510218 and activated since 17 years ago. DR. Jacky Dwayne Shannon M.D. is an individual provider who specializes in Anesthesiology, and the primary practice location is 3601 4th St, Lubbock, TX 79430. You can also contact DR. Jacky Dwayne Shannon M.D. via telephone number is (806) 743-2981. Provider NPI information was last updated on 11/30/2012.

Recently Active NPIs

Overview of DR. Jacky Dwayne Shannon M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 11/01/2006
  • Last updated: 11/30/2012

Primary Scrop of Practice

  • Taxonomy Code: 207L00000X
  • Specialty: Anesthesiology
  • License Number: L8505
  • License State: TX

Provider Mailing Address

  • Address: 5004 Cr 1435
    Lubbock, TX 79407
  • Phone: 806-702-4776
  • Fax:

Provider Practice Location

  • Address: 3601 4th St
    Lubbock, TX 79430
  • Phone: 806-743-2981
  • Fax:

Scope of Practice

  • Taxonomy Code: 207L00000X
  • Specialty: Anesthesiology
  • License Number: L8505
  • License State: TX
  • Switch: No

Legacy Identifiers

  • Provider Identifier: L8505
  • Identifier Type: Other
  • Identifier State: TX
  • Issuer: MEDICAL LICENSE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Jacky Dwayne Shannon M.D.?
  • A: The npi number for DR. Jacky Dwayne Shannon M.D. is 1265510218.
  • Q: What are DR. Jacky Dwayne Shannon M.D.'s specialties?
  • A: DR. Jacky Dwayne Shannon M.D.'s specialties are Anesthesiology and different specialities.
  • Q: What is the medical license for DR. Jacky Dwayne Shannon M.D.?
  • A: The medical license number for DR. Jacky Dwayne Shannon M.D. is L8505 and issued in TX in USA.
  • Q: Where is DR. Jacky Dwayne Shannon M.D. practice location?
  • A: DR. Jacky Dwayne Shannon M.D. is practicing at 3601 4th St, Lubbock, TX 79430.
  • Q: How to contact DR. Jacky Dwayne Shannon M.D.?
  • A: You can contact DR. Jacky Dwayne Shannon M.D. via 806-743-2981.