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Shannon Repka is one of 1,330 physician assistants practicing in Dallas, Texas .
Shannon Repka practices with Healthtexas Provider Network.
Registry record (NPPES)
NPI
1063634897
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant, Medical · 363AM0700X
Address on file
3600 Gaston Ave Dallas, TX 75246-1800 (214) 820-1335
Enumerated
May 2, 2007
Record last updated
Apr 11, 2022
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
3500 Gaston Ave Fl 1
Dallas , TX 75246
(972) 817-6100
4001 Worth St
Dallas , TX 75246
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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