Individual
MEAGHAN SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16811 SOUTHWEST FWY, SUGAR LAND, TX 77479-4728
(281) 609-7547
Mailing address
600 STUDEMONT ST APT 3437, HOUSTON, TX 77007-4968
(813) 385-4252
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AL4379
FL
2255A2300X
Athletic Trainer
Primary
AT6909
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000019902
BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER
—
01
—
AL4379
LICENSED ATHLETIC TRAINER
FL
01
—
AT6909
LICENSED ATHLETIC TRAINER
TX
Enumeration date
04/26/2018
Last updated
04/26/2018
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