Individual
DANEILA SHANTEL SEVERNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22999 HWY 59 N STE 405, KINGWOOD, TX 77339-4441
(281) 571-7508
(281) 571-7512
Mailing address
22999 HWY 59 N STE 405, KINGWOOD, TX 77339-4441
(281) 571-7508
(281) 571-7512
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15031
TX
363AS0400X
Surgical Physician Assistant
PA15031
TX
Other
Enumeration date
10/11/2021
Last updated
03/03/2025
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