Individual
SHANNA MARIE COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6210 JOHN RYAN DR STE 104, FORT WORTH, TX 76132-4111
(817) 294-7578
(817) 294-0585
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
N3572
TX
207VG0400X
Gynecology Physician
Primary
N3572
TX
Other
Enumeration date
10/23/2009
Last updated
05/11/2021
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