Individual ProviderCameron ShullAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address12222 Merit Dr Ste 600, Dallas, TX 75251-3294(972) 715-5000PECOS EnrollmentBased on the most recent information from CMS, provider Cameron Shull is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1093165649Provider TypeIndividualFull NameShull, CameronTitleDr.CredentialMDGenderMaleSole ProprietorYesEnumeration Date6/14/2016Last Updated10/17/2024Contact InformationPractice LocationPractice Address12222 Merit Dr Ste 600, Dallas, TX 75251-3294Phone(972) 715-5000Fax(972) 715-9976Mailing LocationMailing Address3601 4th St, Lubbock, TX 79430-0002PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseT0625TexasCode207L00000XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseBP10056114Texas