| Doctor Name: | SHANNAN ELIZABETH MCCANN |
| NPI Number: | 1710968227 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 20464 |
| Business Practice Address: | 2200 Bergquist Dr Ste 1 Jbsa Lackland, TX - 782369908 |
| Business Phone Number: | 2102925350 |
| Business Fax Number: | 2102923781 |
| Mailing Address: | 2200 Bergquist Dr Ste 1, JBSA LACKLAND |
| State: | TX |
| Postal Code: | 782369908 |
| Phone Number: | 2102925350 |
| Fax Number: | 2102923781 |
| NPI Enumeration Date: | 11/10/2005 |
| NPI Last Update Date: | 10/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080A0000X |
| License Number: | 20464 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |