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Mr. Michael James Shannon, ATP
Other Technician in Tyler, Texas
NPI 1922480326

Michael James Shannon is a Other Technician based in Tyler, TX. Michael James Shannon practices in Tyler, TX and has the professional credentials of ATP. The NPI Number for Michael James Shannon is 1922480326 and holds a License No. 85900 (Texas).

The current practice location address for Michael James Shannon is 12406 State Highway 155 S, Tyler, TX and can be reached out via phone at 903-592-8931 and via fax at 903-592-8922.

Location: 12406 State Highway 155 S, Tyler, TX, 75701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922480326
Provider Name
Michael James Shannon
Credential
ATP
Provider Entity Type
Individual
Gender
Male
Address
12406 State Highway 155 S, Tyler, TX, 75701
Phone Number
903-592-8931
Fax Number
903-592-8922
Provider Enumeration Date
06/22/2015
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
12406 State Highway 155 S
City
Tyler
State
Texas
Zip
75703-6446
Phone Number
903-592-8931
Fax Number
903-592-8922
person
Provider Business Mailing Address Details
Address
12406 State Highway 155 S
City
Tyler
State
Texas
Zip
75703-6446
Phone Number
903-592-8931
Fax Number
903-592-8922
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
85900 (Texas)
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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