Individual
SHANNON WATERS TOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 SW H K DODGEN LOOP BLDG 300, TEMPLE, TX 76502-1814
(254) 724-5437
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
U5541
TX
Other
Enumeration date
03/27/2020
Last updated
02/26/2024
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