Individual
MR. SHANNON R THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8309 FLYTHE MILL RD, FORT WORTH, TX 76120-2021
(414) 610-8655
Mailing address
8309 FLYTHE MILL RD, FORT WORTH, TX 76120-2021
(414) 610-8655
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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