MR. SHANNON D SCURLOCK SR. (NPI# 1982833323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982833323 |
| Entity Type | Individual |
| Full Name | MR. SHANNON D SCURLOCK SR. |
| Practice Address |
12808 W Airport Blvd Ste 292 Sugar Land TX 77478-6244 |
| Practice Telephone | 8323922886 |
| Mailing Telephone | 8323922886 |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2020-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | TX | Technologists, Technicians & Other Technical Service Providers | |
| N | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861703803 | Shannon R Scurlock | Case Manager/Care Coordinator | 807 Lawn Ave, Sellersville, PA 18960-1549 | 2010-06-24 |
| Street Address |
12808 W AIRPORT BLVD STE 292 |
| City | SUGAR LAND |
| State | TX |
| Zip Code | 77478-6244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225573108 | Avidcare Hospice LLC | Hospice Care, Community Based | 12808 W Airport Blvd Ste 292, Sugar Land, TX 77478-6244 | 2016-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538794474 | Guiding Light Family Services of Texas, LLC | Clinic/Center | 322 Richland Drive, Sugarland, TX 77478 | 2020-03-11 |
| 1326671066 | Parimal Patel | Physical Therapist | 15591 Creekbend Dr Ste 201, Sugar Land, TX 77478 | 2020-02-21 |
| 1811529662 | Alexandria Gallien | Pharmacist | 13322 W Airport Blvd, Sugar Land, TX 77478 | 2020-02-10 |
| 1760022024 | Ronald Blancett | Physical Therapist | 56 Sugar Creek Center Blvd Suite 150, Sugar Land, TX 77478 | 2020-01-14 |
| 1871141549 | Lyanne Y Colon | Physical Therapist | 20403 University Blvd #100, Sugar Land, TX 77478 | 2019-08-27 |
| 1487201927 | Ephesians 2:10 Holdings, LLC | In Home Supportive Care | 1415 Sh-6, Suite A-310, Sugar Land, TX 77478 | 2019-08-20 |
| 1902466519 | Houston Regional Pain and Regenerative Medicine Pllc | Anesthesiology | 15555 Creek Bend Rd, Unit 200, Sugarland, TX 77478 | 2019-06-17 |
| 1891354072 | Adc Serives:dental PC | Clinic/Center | 12921 West Bellfort, Sugar Land, TX 77478 | 2019-06-11 |
| 1033677026 | Yang Dental, Pllc | Clinic/Center | 2220 Eldridge Rd Ste 150, Sugar Land, TX 77478 | 2019-03-08 |
| 1689159501 | Rafael Williams | Behavior Technician | 225 Matlage Way, Sugar Land, TX 77478 | 2018-09-26 |
| Find all providers in zip 77478 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630050 | Dorcas Ann Rupert | Technician, Other | 16655 Southwest Fwy, Sugar Land, TX 77479-2329 | 2020-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120083 | Pablo Gonzales IIi | Technician, Other | 10114 Stella Link Rd Ste A-2, Houston, TX 77025-5300 | 2020-10-04 |
| 1477160315 | Kaili Kennedy | Technician, Other | 66 Daughtrey Ave Apt 516, Waco, TX 76706-1677 | 2020-09-24 |
| 1194338673 | Porscha Williams | Technician, Other | 2520 Echo Point Dr, Fort Worth, TX 76123-1136 | 2020-08-25 |
| 1245857580 | Tara Latonya Cooper | Technician, Other | 1743 Troup Hwy, Tyler, TX 75701-5869 | 2020-07-02 |
| 1295351914 | Richard Allen Majors | Technician, Other | 6429 Green Ridge Dr, Watauga, TX 76148-1414 | 2020-06-18 |
| 1740824804 | Sara Wolfe | Technician, Other | 4245 N Central Expy Ste 450, Dallas, TX 75205-4530 | 2019-11-01 |
| 1265075048 | Juliana Dubey | Technician, Other | 400 E. Royal Ln, Building 3, Suite 290, Irving, TX 75039 | 2019-10-23 |
| 1154963007 | Alex Robert Langford | Technician, Other | 1901 N. Glenville Dr., Suite 501, Richardson, TX 75081 | 2019-10-11 |
| 1518517762 | Clayton Ernest Robertson | Technician, Other | 5555 N Lamar Blvd Ste D113, Austin, TX 78751-1075 | 2019-09-18 |
| 1013561778 | Joslyn Love | Technician, Other | 1228 Timber Ln, Frisco, TX 75036-1743 | 2019-07-30 |
| Find all providers with the same taxonomy | ||||
| City | SUGAR LAND |
| Zip Code | 77478 |
Please comment or provide details below to improve the information on MR. SHANNON D SCURLOCK SR..
| 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.