Provider Demographics
NPI:1477701076
Name:MCHONE, SHAWN THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:THOMAS
Last Name:MCHONE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5775 AIRPORT BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-4214
Mailing Address - Country:US
Mailing Address - Phone:512-643-1642
Mailing Address - Fax:512-451-1208
Practice Address - Street 1:5775 AIRPORT BLVD STE 300
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-4214
Practice Address - Country:US
Practice Address - Phone:512-643-1642
Practice Address - Fax:512-451-1208
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10961111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor