According to our database, the NPI number for MR. Shane Sullaway is 1366738320 and activated since 12 years ago. MR. Shane Sullaway is an individual provider who specializes in Technician, Other, and the primary practice location is 2100 N Highway 360, Grand Prairie, TX 75050. You can also contact MR. Shane Sullaway via telephone number is (972) 647-8567. Provider NPI information was last updated on 06/28/2011.

Recently Active NPIs

Overview of MR. Shane Sullaway

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/28/2011
  • Last updated: 06/28/2011

Primary Scrop of Practice

  • Taxonomy Code: 247200000X
  • Specialty: Technician, Other
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 2100 N Highway 360
    Ste. 1802
    Grand Prairie, TX 75050
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 2100 N Highway 360
    Ste. 1802
    Grand Prairie, TX 75050
  • Phone: 972-647-8567
  • Fax: 972-660-4548

Scope of Practice

  • Taxonomy Code: 247200000X
  • Specialty: Technician, Other
  • License Number:
  • License State:
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 247200000X
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: TX
  • Issuer:

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 MR. Shane Sullaway?
  • A: The npi number for MR. Shane Sullaway is 1366738320.
  • Q: What are MR. Shane Sullaway's specialties?
  • A: MR. Shane Sullaway's specialties are Technician, Other and different specialities.
  • Q: What is the medical license for MR. Shane Sullaway?
  • A: The medical license number for MR. Shane Sullaway is unknow and issued in unknow in USA.
  • Q: Where is MR. Shane Sullaway practice location?
  • A: MR. Shane Sullaway is practicing at 2100 N Highway 360, Grand Prairie, TX 75050.
  • Q: How to contact MR. Shane Sullaway?
  • A: You can contact MR. Shane Sullaway via 972-647-8567.