Shonna Y Parks, CRNA | |
3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | |
(325) 949-9555 | |
Not Available |
Full Name | Shonna Y Parks |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3501 Knickerbocker Rd, San Angelo, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1932152204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 612905 (Texas) | Primary |
Entity Name | Shannon Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
Mailing Address | Practice Location Address |
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Shonna Y Parks, CRNA Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | Shonna Y Parks, CRNA 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 Ph: (325) 949-9555 |
Shari L. Rogler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-6741 | |
Shayla Cue, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-653-6741 | |
Mr. Michael Rochin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3501 Knickerbocker Rd, San Angelo, TX 76904 Phone: 325-947-6616 | |
Ms. Patricia T Manning, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-653-6741 Fax: 325-481-2166 | |
Crystal Sustaita, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3501 Knickerbocker Rd, San Angelo, TX 76904 Phone: 325-949-9511 | |
Kristine Scott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3501 Knickerbocker Rd, San Angelo, TX 76904 Phone: 325-949-9555 | |
Mr. Marvin Hill, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 120 E. Harris Ave, San Angelo, TX 76903 Phone: 325-653-6741 Fax: 325-481-2166 |