Teasia Shikelia Hagan-Shock

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

LLC6962 Issued in TX

Practice address

5527 Irish Hill Dr
Houston, TX 77053-3519

Phone

(832) 542-3954

NPI assigned

Nov 1, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1992349914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5527 IRISH HILL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770533519",
            "telephone_number": "832-542-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5527 IRISH HILL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770533519",
            "telephone_number": "832-542-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN-SHOCK",
        "first_name": "TEASIA",
        "middle_name": "SHIKELIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "TX",
            "license": "LLC6962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silvia Hafliger, MD
• Justin Mark Hafner, PNP
• Laura Ellen Hafner, CRNA
• Alejandro Marbid Hagad IV, RN
• Hagamoslo
• Carin A Hagberg, M.D.
• Fredrick B. Hagemeister, M.D.
• Alexa Marie Hagen, OTR/L
• Brenda L. Hagen, RN, FNP
• John Conrad Hagen III, MD

• Private Vehicle in Houston, TX
• Providers in Houston, TX by specialty
• Private Vehicle in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.