Shaun Ingram is one of 3,082 nurse practitioners practicing in Houston, Texas .
Shaun Ingram practices with Innovista Provider Group Texas PA.
Registry record (NPPES)
NPI
1093377194
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
4250 Faronia Rd Ste 4
Enumerated
Jun 28, 2019
Record last updated
Aug 9, 2019
License states listed
TN
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
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
12823 Gulf FwyHouston , TX 77034
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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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