Individual
SHANNON GARITTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 WOODHEW DR STE 220, WACO, TX 76712-6679
(254) 245-9175
Mailing address
PO BOX 610344, DALLAS, TX 75261-0344
(254) 245-9177
(254) 245-9178
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
S2039
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
S2039
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
S2039
TX
Other
Enumeration date
05/13/2013
Last updated
12/09/2025
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