Individual
ASHLEY ELIZABETH SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
203 S ALMA DR. #200, ALLEN, TX 75013
(972) 747-1122
Mailing address
203 S ALMA DR. #200, ALLEN, TX 75013
(972) 747-1122
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10832T
TX
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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