Individual
SHANNON TARA BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
6624 FANNIN ST STE 1970, HOUSTON, TX 77030-2230
(832) 736-7554
Mailing address
6624 FANNIN ST STE 1970, HOUSTON, TX 77030-2230
(832) 736-7554
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1110271
TX
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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