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Individual

DR. DONELSON NEAL SHANNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2704 HANOVER ST, DALLAS, TX 75225-7922
(469) 766-3441
Mailing address
2704 HANOVER ST, DALLAS, TX 75225-7922
(469) 766-3441

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
F-1995
TX

Other

Enumeration date
11/05/2018
Last updated
11/05/2018
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