Individual
BRENDA SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 LEGACY RANCH RD, WAXAHACHIE, TX 75165-1293
(877) 868-2528
(877) 926-5332
Mailing address
1000 LEGACY RANCH RD, WAXAHACHIE, TX 75165-1293
(877) 868-2528
(877) 926-5332
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1047242
TX
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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