Provider Demographics
NPI:1437360385
Name:MCCANTS, SHANNON ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:ELIZABETH
Last Name:MCCANTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 GASTON AVENUE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246
Mailing Address - Country:US
Mailing Address - Phone:214-824-3200
Mailing Address - Fax:214-461-9421
Practice Address - Street 1:1600 REPUBLIC PKWY
Practice Address - Street 2:SUITE 160
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-6918
Practice Address - Country:US
Practice Address - Phone:972-613-6336
Practice Address - Fax:214-461-9423
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1759207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology