NPI age
19 years
Enumerated 2006-11-01
● Active
Type 1 · Individual
DR. Jacky Dwayne Shannon, M.D.
Shannon is 1 of 1 anesthesiology providers in Lubbock and 1 of 63 in Texas.
Primary specialty
Anesthesiology
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-11-30
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 63 active anesthesiology providers in Texas.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
27% of peers hold multiple states
Subspecialties
1
In the 60% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Practice location
3601 4th St
Lubbock, TX 794300002
Mailing address
5004 Cr 1435
Lubbock, TX 79407
Specialties
-
Anesthesiology PrimaryAn anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also...
-
AnesthesiologyAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | L8505 | MEDICAL LICENSE |
Practice context
Part of a multi-provider practice. 475 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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