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Individual
SHANNON LEE CASEY
Active
Individual
SHANNON LEE CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
J4026
TX
207Q00000X
Family Medicine Physician
Primary
J4026
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138691421
—
TX
01
—
8P5147
BCBS
TX
01
—
8S7665
BCBS
TX
Enumeration date
04/14/2006
Last updated
09/05/2025
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