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Individual
SHANNON HENDRY DRTIL
Active
Individual
SHANNON HENDRY DRTIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H7294
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135879083
—
TX
05
—
1543772
—
LA
01
—
89804B
TX-BLUE SHIELD
—
Enumeration date
01/30/2007
Last updated
02/03/2009
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