Individual
SHANNON MCDERMOTT ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2900 RICHMOND AVE, HOUSTON, TX 77098-3106
(713) 363-2400
Mailing address
3111 ROWHOUSE LN, HOUSTON, TX 77080-1109
(832) 330-2598
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA15204
TX
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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