Individual
MR. THOMAS OSWALD SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3115 COLLEGE PARK DRIVE, STE 101, THE WOODLANDS, TX 77384-4001
(936) 321-4345
(936) 321-4353
Mailing address
3115 COLLEGE PARK DRIVE, STE 101, THE WOODLANDS, TX 77384-4001
(936) 321-4345
(936) 321-4353
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
J5014
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080725701
—
TX
05
—
139377915
—
TX
Enumeration date
08/24/2006
Last updated
09/16/2015
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