Individual provider Active NPI

Mary Shannon Gallagher

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
National Provider Identifier
1609974484
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J8542 Issued in TX
Practice address
7711 Louis Pasteur
#200
San Antonio, TX 78229
Phone
(210) 692-9500
Fax
(210) 616-9300
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X J8542 TX Primary

Addresses

Primary practice location

7711 Louis Pasteur
#200
San Antonio, TX 78229

Mailing address

7711 Louis Pasteur
#200
San Antonio, TX 78229
Phone (210) 692-9500

Other identifiers 1

IdentifierTypeStateIssuer
044516501MedicaidTX

Other names 1

  • Mary Shannon Gallagher Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110713000426 TX Practitioner - Obstetrics/Gynecology 2365610649 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star OB/GYN Associates, P.a. Obstetrics & Gynecology CurrentSince May 12, 2023 Accepting new patients
Premier OB-GYN of Texas LLC Obstetrics & Gynecology CurrentSince Mar 14, 2025 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Jul 1, 2022 Accepting new patients
Tejas Anesthesia PLLC Past Accepting new patients

Locations

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

7950 Floyd Curl Dr
Ste 300
San Antonio, TX 78229
Phone (210) 615-6505

7950 Floyd Curl Dr
Ste 300400
San Antonio, TX 78229
Phone (210) 615-6505

4458 Medical Dr
Ste 405
San Antonio, TX 78229
Phone (210) 314-1718

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

4458 Medical Dr
Ste 650
San Antonio, TX 78229

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1609974484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 LOUIS PASTEUR",
            "address_2": "#200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-692-9500",
            "fax_number": "210-616-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 LOUIS PASTEUR",
            "address_2": "#200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-692-9500",
            "fax_number": "210-616-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "MARY",
        "middle_name": "SHANNON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J8542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044516501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GALLAGHER",
            "middle_name": "SHANNON",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.