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Individual

DAN T SHINNICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1200 E JACKSON AVE, SUITE B., MCALLEN, TX 78503-1606
(956) 682-1350
Mailing address
1200 E JACKSON AVE, SUITE B., MCALLEN, TX 78503-1606
(956) 682-1350

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02506
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00E25T
BCBS
TX
Enumeration date
08/13/2006
Last updated
02/20/2008
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