Provider Demographics
NPI:1215152525
Name:GARZA, SHANNA S (MD)
Entity type:Individual
Prefix:DR
First Name:SHANNA
Middle Name:S
Last Name:GARZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHANNA
Other - Middle Name:B
Other - Last Name:SHAHID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2835 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75215-1647
Mailing Address - Country:US
Mailing Address - Phone:214-421-1783
Mailing Address - Fax:214-421-8224
Practice Address - Street 1:7300 ELDORADO PKWY STE 225
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-3590
Practice Address - Country:US
Practice Address - Phone:972-893-3376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5178207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1931479-02Medicaid
TX1931479-02Medicaid
TXP01215529Medicare PIN