Individual
DONNA SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5656 KELLEY ST, HOUSTON, TX 77026-1967
(713) 566-5000
(713) 566-5045
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J3216
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134744508
—
TX
01
—
8W2027
BCBSTX
TX
Enumeration date
10/11/2006
Last updated
05/14/2008
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