Individual
MR. SHANNON D SCURLOCK SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12808 W AIRPORT BLVD STE 292, SUGAR LAND, TX 77478-6244
(832) 392-2886
Mailing address
12808 W AIRPORT BLVD STE 292, SUGAR LAND, TX 77478-6244
(832) 392-2886
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
TX
247200000X
Other Technician
—
—
Other
Enumeration date
07/07/2009
Last updated
07/29/2020
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