Individual
DR. SHANNON LEE GALLENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
150 EUBANKS RD, MAYPEARL, TX 76064-1828
(469) 383-9306
(972) 435-2915
Mailing address
150 EUBANKS RD, MAYPEARL, TX 76064-1828
(469) 383-9306
(972) 435-2915
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
1513
TX
Other
Enumeration date
08/08/2006
Last updated
05/08/2009
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