1366738320 Mr. Shane Sullaway

Other Technician

Active

Basic Information

Full Name
Mr. Shane Sullaway
Gender
Male
Enumeration Date
June 28, 2011
Last Update
June 28, 2011

Practice Location

Address
2100 N HIGHWAY 360
STE. 1802
GRAND PRAIRIE, TX 750501011
Phone
(972) 647-8567
Fax
(972) 660-4548

Mailing Address

Address
2100 N HIGHWAY 360
STE. 1802
GRAND PRAIRIE, TX 750501011
Phone
N/A

Specialties & Taxonomies

Specialty Code Classification License State Primary
Other Technician
247200000X Technician, Other N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
247200000X 05 TX N/A

Frequently Asked Questions

What is Mr. Shane Sullaway's NPI number?
Mr. Shane Sullaway's NPI number is 1366738320.
Which doctor has NPI number 1366738320?
The doctor with NPI number 1366738320 is Mr. Shane Sullaway.
What is Mr. Shane Sullaway's practice address?
Mr. Shane Sullaway's practice address is 2100 N HIGHWAY 360, STE. 1802, GRAND PRAIRIE, TX, 750501011.
Which doctor practices at 2100 N HIGHWAY 360, STE. 1802, GRAND PRAIRIE, TX, 750501011?
Mr. Shane Sullaway practices at 2100 N HIGHWAY 360, STE. 1802, GRAND PRAIRIE, TX, 750501011.
What is Mr. Shane Sullaway's phone number?
Mr. Shane Sullaway's phone number is (972) 647-8567.
Who is (972) 647-8567?
(972) 647-8567 is the phone number for Mr. Shane Sullaway.
What is Mr. Shane Sullaway's specialty?
Mr. Shane Sullaway's specialty is Other Technician.
What type of doctor is Mr. Shane Sullaway?
Mr. Shane Sullaway is a Other Technician.
Is Mr. Shane Sullaway a Technician, Other?
Yes, Mr. Shane Sullaway is a Technician, Other.
Is Mr. Shane Sullaway still practicing?
Yes, Mr. Shane Sullaway is currently practicing.
Is Mr. Shane Sullaway accepting new patients?
Mr. Shane Sullaway may be accepting new patients. Please call their office at (972) 647-8567 to inquire about availability.
Is NPI 1366738320 still active?
Yes, NPI 1366738320 is currently active.
Where does Mr. Shane Sullaway practice?
Mr. Shane Sullaway practices in GRAND PRAIRIE, TX.
Is Mr. Shane Sullaway a male or female doctor?
Mr. Shane Sullaway is a male doctor.