SearchTexas101YA0400X

Andrew Shanks, LCDC

NPI 1700378999 · on the registry since 2018

Practice

Address
2132 Antone St
Austin, TX 78723
Phone
(512) 650-0874

Additional practice sites

  • 722 Annika Way, Bastrop, TX
  • 722 Annika Way, Bastrop, TX

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-08-05

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