Individual
GREGORY L. SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17510 W GRAND PKWY S, #220, SUGAR LAND, TX 77479-2645
(281) 201-1338
(281) 201-1353
Mailing address
17510 W GRAND PKWY S, #220, SUGAR LAND, TX 77479-2645
(281) 201-1338
(281) 201-1353
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036-107804
IL
174400000X
Specialist
2001-1396
NC
207RG0100X
Gastroenterology Physician
Primary
K7479
TX
Other
Enumeration date
03/21/2006
Last updated
09/26/2023
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