Organization
REBECCA S. SHANK MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA SISK SHANK M.D. (OWNER)
(817) 279-0399
Entity
Organization
Contact information
Practice address
2003 ROCKVIEW DR., GRANBURY, TX 76049
(817) 279-0399
(817) 573-8338
Mailing address
2003 ROCKVIEW DR., GRANBURY, TX 76049
(817) 279-0399
(817) 573-8338
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
H8832
TX
Other
Enumeration date
03/30/2007
Last updated
07/23/2007
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