Jacky D. Shannon, M.D.
Critical Care Anesthesiology · Lubbock, TX
UnclaimedM.D.NPI 1265510218
- Primary taxonomy
- 207LC0200X
- Enumerated
- 2006-11-01
- Practice location
- Lubbock, TX
- Last NPPES update
- 2012-11-30
State licenses
- TX · Physician · NPPES self-reportedListed on NPI record
- TX · Resident physician · Physician-in-Training PermitInactivethrough 2003
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.