Individual
DR. SHAYNE A MCANALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1610 W POLO RD, GRAND PRAIRIE, TX 75052-1852
(972) 602-3746
Mailing address
1610 W POLO RD, GRAND PRAIRIE, TX 75052-1852
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
BP1-0032009
TX
Other
Enumeration date
06/09/2009
Last updated
06/14/2009
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