Individual
DR. SHANNON KELLY HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7900 FANNIN ST, SUITE 3300, HOUSTON, TX 77054-2934
(713) 630-0660
(713) 796-2555
Mailing address
7900 FANNIN ST, SUITE 3300, HOUSTON, TX 77054-2934
(713) 630-0660
(713) 796-2555
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
L6936
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178194001
—
TX
01
—
383729011
TAX ID
TX
Enumeration date
09/27/2006
Last updated
07/08/2007
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