Provider Demographics
NPI:1124360300
Name:MERKEL, SHANNON M (RDMS, RCS, RVS)
Entity Type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:M
Last Name:MERKEL
Suffix:
Gender:F
Credentials:RDMS, RCS, RVS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1550 KATY GAP RD
Mailing Address - Street 2:1706
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4353
Mailing Address - Country:US
Mailing Address - Phone:832-437-8860
Mailing Address - Fax:281-810-9974
Practice Address - Street 1:1550 KATY GAP RD
Practice Address - Street 2:1706
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4353
Practice Address - Country:US
Practice Address - Phone:832-437-8860
Practice Address - Fax:281-810-9974
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-26
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX349830Medicare PIN