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Shaun Michael Shore, PA-C
Surgical Physician Assistant in Prosper, Texas
NPI 1649299710

Shaun Michael Shore is a Surgical Physician Assistant based in Prosper, TX and is specialized in Surgical. Shaun Michael Shore practices in Prosper, TX and has the professional credentials of PA-C. The NPI Number for Shaun Michael Shore is 1649299710 and holds a License No. PA04445 (Texas).

The current practice location address for Shaun Michael Shore is 960 Caribou Dr, Prosper, TX and can be reached out via phone at 469-343-6333 and via fax at 855-299-6441.

Location: 960 Caribou Dr, Prosper, TX, 75078-7066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649299710
Provider Name
Shaun Michael Shore
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
960 Caribou Dr, Prosper, TX, 75078-7066
Phone Number
469-343-6333
Fax Number
855-299-6441
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8N9577 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
960 Caribou Dr
City
Prosper
State
Texas
Zip
75078-7066
Phone Number
469-343-6333
Fax Number
855-299-6441
person
Provider Business Mailing Address Details
Address
960 Caribou Dr
City
Prosper
State
Texas
Zip
75078-7066
Phone Number
469-343-6333
Fax Number
855-299-6441
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA04445 (Texas)
Definition
Definition to come...
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