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1013003151
VICKIE R. SHANNON
HOUSTON, TX
NPI
1013003151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: TX G7762)
Enumeration Date
2006-10-05
Last Update Date
2012-06-29
Business Address
-- VICKIE R. SHANNON M.D.
1515 HOLCOMBE BLVD
HOUSTON, TX 77030-4009
Phone number: 713-792-6161
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Mailing Address
-- VICKIE R. SHANNON M.D.
PO BOX 4439
HOUSTON, TX 77210-4439
Phone number: 713-792-2991
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