Shane Davison
Counselor - Professional • Rosharon, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Shane Davison has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Shane Davison was a registered Counselor - Professional practicing in Rosharon, TX. Throughout an active medical career spanning 1 years, Shane Davison provided care at the practice location at 9514 OCEAN DR until profile deactivation on 2019-05-21.
Practice Location & Contact Primary Location
9514 Ocean Dr
Rosharon, TX 775831603
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in Rosharon, TX
Practicing in Rosharon, TX (21203 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2025-03-17NUCC Taxonomy Code: 101YP2500X
Definition to come...
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 9514 OCEAN DR, ROSHARON, TX 775831603 (Tel: 2812417163)
Record officially reactivated for active practice on June 10, 2019
Registered at 210 LAKE RD STE 700A, LAKE JACKSON, TX 775664988 (Tel: 9792859242)
Registered at 9514 OCEAN DR, IOWA COLONY, TX 775831603 (Tel: 2816301113)
Recorded as SHANE DAVISON
Counselor (License #78160 in TX)
Record deactivated on May 21, 2019
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
9514 Ocean Dr
Iowa Colony, TX 775831603
Phone: 2816301113
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