Jacky Dwayne Shannon, MD

Critical care physician in Lubbock, Texas · NPI 1265510218

Jacky Shannon is one of 3 critical care physicians practicing in Lubbock, Texas. See all critical care physicians in Texas. Jacky Shannon practices with Covenant Medical Group.

Registry record (NPPES)

NPI
1265510218
Type
Type 1 · Individual
Primary taxonomy
Anesthesiology, Critical Care Medicine · 207LC0200X
Address on file
3601 4th St
Lubbock, TX 79430-0002
(806) 743-2981
Enumerated
Nov 1, 2006
Record last updated
Nov 30, 2012
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Critical Care (Intensivists)
Revalidation due
No date set by CMS

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Practice locations

More critical care physicians in Lubbock

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.