Individual
CAROLYN SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD STE E4.300, DALLAS, TX 75390-8579
(214) 648-3916
Mailing address
5323 HARRY HINES BLVD STE E4.300, DALLAS, TX 75390-8579
(214) 648-3916
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
U6805
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2021
Last updated
08/08/2024
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