Individual
DR. SHANNON LEIGH HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6550 FANNIN ST, SUITE 2221, HOUSTON, TX 77030-2717
(713) 797-9666
Mailing address
1917 WOODBURY ST, HOUSTON, TX 77030-4125
(409) 370-3993
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
BP1-0029067
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4658084339
MYUTMB 4658084339
—
Enumeration date
08/05/2007
Last updated
01/20/2022
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