Individual
MICHAEL SHAWN OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP-BC
Contact information
Practice address
6550 FANNIN ST, SUITE 1101, HOUSTON, TX 77030-2717
(713) 441-0005
Mailing address
6550 FANNIN ST, SUITE 1101, HOUSTON, TX 77030-2717
(713) 441-0005
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
708016
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376861971
BLUE CROSS BLUE SHIELD
TX
05
—
220495001
—
TX
05
—
220495002
—
TX
01
—
P01086530
RR MEDICARE
TX
Enumeration date
05/07/2010
Last updated
09/19/2024
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