MARILYN GENNEDY SHOOK


Address: 18885 Katy Fwy Fl 2, Houston, TX 77094-1103
Phone: 2818292000

MARILYN GENNEDY SHOOK (NPI# 1750582847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750582847
Entity Type Individual
Full Name MARILYN GENNEDY SHOOK
Credential PA
Practice Address 18885 Katy Fwy Fl 2
Houston
TX 77094-1103
Mailing Address Po Box 644006
Dallas
TX 75264-4006
Practice Telephone 2818292000
Mailing Telephone 2818292000
Mailing Fax Number 2818292220
Enumeration Date 2007-05-29
Last Update Date 2020-02-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant PA05255 TX Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
PA05255 TX Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA05255 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX MEDICARE INDIVIDUAL PTAN 8J7704 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
5420 West Loop S Ste 2300, Bellaire, TX 774012118 7136506900

Office Location

Street Address 18885 KATY FWY FL 2
City HOUSTON
State TX
Zip Code 77094-1103

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316591886 John Walter Warner Jr. Physical Therapist 18200 Katy Fwy. Wa.0540.01, Houston, TX 77094 2019-08-01
1104394360 Brooklyn Bradford Physical Therapist 18200 Katy Freeway, Wa 130, Houston, TX 77094 2018-11-06
1063921641 Michelle Gorman Chiropractor 18021 Kingsland Blvd Apt 8103, Houston, TX 77094 2017-09-26
1558749705 Sima Momin Internal Medicine 18400 Katy Fwy Ste 300, Houston, TX 77094 2015-05-08
1659784874 Nova Pension Behavioral Analyst 19030 Waterford Cv, Houston, TX 77094 2014-06-05
1134531361 Lina M Ching Mdpa Internal Medicine 18300 Katy Freeway, Suite 275, Houston, TX 77094 2014-05-22
1942610068 Nesochi Adimorah Obstetrics & Gynecology 18400 Katy Fwy Ste 400, Houston, TX 77094 2014-04-28
1174952584 Pure Smiles Dentist 19235 Katy Freeway South, 300a, Houston, TX 77094 2013-11-06
1134439086 Monty Arta Aghazadeh Surgery 18300 Katy Fwy Ste 325, Houston, TX 77094 2010-10-13
1386972503 Allan Sobrevians Garcia Pharmacist 18400 Katy Fwy Ste 100, Houston, TX 77094 2009-11-29
Find all providers in zip 77094

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619591864 Today Telemedicine Pllc Physician Assistant 404 Oxford St Apt 2219, Houston, TX 77007-2679 2020-06-03
1114558335 Erin Lynn Brown Physician Assistant 1504 Taub Loop Houston, Houston, TX 77030 2020-01-27
1720649478 Teresa Garcia Physician Assistant 12911 Hawthorne Shores Dr, Houston, TX 77044-1258 2019-06-24
1407328578 Brenda Guzman Castillo Physician Assistant 3003 Navigation Boulevard, Houston, TX 77003 2018-12-29
1518442649 Alexander De Jesus Hadded Physician Assistant 3651 Weslayan St Ste 106, Houston, TX 77027-6643 2018-09-25
1003395872 Silas Steven Luna Physician Assistant 427 W 20th St Ste 210, Houston, TX 77008-2400 2018-08-12
1619490901 Dona Le Physician Assistant 11119 Fern Terrace Dr, Houston, TX 77075 2017-07-19
1043761455 Lorena Michelle Sumner-nassif Physician Assistant 9809 Rowlett Rd # A1, Houston, TX 77075-3438 2016-10-20
1851760243 Lauren K Duerst Physician Assistant 6550 Fannin St Ste 1701, Houston, TX 77030-2709 2015-09-16
1982081568 Lundy Saing Physician Assistant 6431 Fannin St Msb 2.130, Houston, TX 77030 2015-05-02
Find all providers in HOUSTON

Competitor

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City HOUSTON
Zip Code 77094

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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