Individual
DON SHANNON CALLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 TRAVIS, LIBERTY, TX 77575-4828
(936) 336-6439
(936) 336-8870
Mailing address
720 TRAVIS, LIBERTY, TX 77575-4828
(936) 336-6439
(936) 336-8870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M3952
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11818883
CAQH
TX
05
—
202747601
—
TX
01
—
8AW040
BC/BS
TX
01
—
8F0993
BC/BS
TX
01
—
M39952
LICENSE
TX
Enumeration date
04/19/2007
Last updated
09/04/2009
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