1578665972 NPI number — SHANNON G AMRHEIN PA-C

Table of content: SHANNON G AMRHEIN PA-C (NPI 1578665972)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578665972 NPI number — SHANNON G AMRHEIN PA-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AMRHEIN
Provider First Name:
SHANNON
Provider Middle Name:
G
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HAUGHT
Provider Other First Name:
SHANNON
Provider Other Middle Name:
G
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PA-C
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1578665972
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/15/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7230 CRAWFORD RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARGYLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76226-2677
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
940-340-1036
Provider Business Mailing Address Fax Number:
940-514-9020

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7230 CRAWFORD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARGYLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76226-2677
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
940-340-1036
Provider Business Practice Location Address Fax Number:
940-514-9020
Provider Enumeration Date:
09/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  PA02989 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: OA002663 . This is a "LICENSE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2026 www.npivalidator.com