Most Relevant Information
Provider Data
| NPI Number: | 1003354960 |
| Provider Name: | SHANNON KIRKWOOD DC |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/10/2017 |
| Last Updated: | 10/09/2018 |
Provider Practice Location
17130 HIGHWAY 46 W STE 110A
SPRING BRANCH
TX
780707116
Practice Location Phone/Fax
| Phone: | 8308854477 |
| Fax: |
Provider Mailing Location
17130 HIGHWAY 46 W STE 110A
SPRING BRANCH
TX
780707116
Provider Mailing Phone/Fax
| Phone: | 8308854477 |
| Fax: |