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Individual

SHANNON DIONE CAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
321 N HIGHLAND AVE, SUITE 120, SHERMAN, TX 75092-7378
(903) 870-7936
(903) 957-0367
Mailing address
2605 W CASCADE DR, SHERMAN, TX 75092-4310

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA02293
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
197765401
TX
01
82N244
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/10/2005
Last updated
06/14/2023
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