Individual
SHAWN DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7875 COUNTY ROAD 346, TERRELL, TX 75161-5514
(214) 802-0089
Mailing address
7875 COUNTY ROAD 346, TERRELL, TX 75161-5514
(214) 802-0089
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
12/24/2020
Last updated
12/24/2020
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