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Individual
DR. SHANNON B PAYSEUR
Active
Individual
DR. SHANNON B PAYSEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M0858
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
M0858
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12529264
CAQH PROVIDER #
TX
05
—
218958101
—
TX
Enumeration date
11/17/2006
Last updated
06/12/2022
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