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Search › Texas › Other Technician

Shane Sullaway

NPI 1366738320 · on the registry since 2011

Practice

Address
2100 N Highway 360
Ste. 1802
Grand Prairie, TX 75050
Phone
(972) 647-8567
Fax
(972) 660-4548
Organisation at this address
Dickson Kutey
Amigo Mobility Center Inc.
Concentra Health Services, Inc.
Stellar Healthcare Services, Llc
Occupational Health Centers Of The Southwest P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Other Technician
247200000X
Sex
Male
Record last updated
2011-06-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas