Organization
REBECCA S. SHANK MD PA
Active
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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