Individual
MARILYN GENNEDY SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
18885 KATY FWY FL 2, HOUSTON, TX 77094-1103
(281) 829-2000
Mailing address
PO BOX 207, HOUSTON, TX 77001-0207
(281) 829-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA05255
TX
363AM0700X
Medical Physician Assistant
PA05255
TX
363AS0400X
Surgical Physician Assistant
Primary
PA05255
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8J7704
MEDICARE INDIVIDUAL PTAN
TX
Enumeration date
05/29/2007
Last updated
04/22/2025
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