Individual
DR. SHANNON MCMANAMA DICARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6701 FANNIN ST, CCC 1250, HOUSTON, TX 77030-2608
(832) 822-5046
Mailing address
5802 BENNING DR, HOUSTON, TX 77096-6029
(817) 917-3817
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
P8656
TX
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
P8656
TX
Other
Enumeration date
12/22/2010
Last updated
05/07/2025
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