Edie Elizabeth Shulman in Austin - Clinic/center

Edie Elizabeth Shulman - NPI 1659304673

Edie Elizabeth Shulman is a Clinic/center in Austin, Texas. Edie Elizabeth Shulman practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Edie Elizabeth Shulman is 1659304673. The last update date is 2020-10-22.

Edie Elizabeth Shulman's current location address is 2608 Brockton Dr, Austin, Texas. You can contact this provider via phone number 5126544050 and fax number 5126544051. The mailing address for Edie Elizabeth Shulman is 2608 Brockton Dr, Austin, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Edie Elizabeth Shulman
Address 2608 Brockton Dr, Austin, Texas
Phone Number 5126544050
Fax Number 5126544051
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1659304673
Provider Enumeration Date 2006-07-10
Last Updated Date 2020-10-22

Provider Mailing Address Detail

Address 2608 Brockton Dr
City Austin
State Texas (TX)
Post Code 787584414
Phone Number 5126544050
Fax Number 5126544051

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Licence No J1568
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8F7802 TX MEDICARE
129250004 TX --
81413J TX BCBS

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FAQs about Edie Elizabeth Shulman

What is the unique identification code assigned to Edie Elizabeth Shulman by the Centers for Medicare & Medicaid Services?

The Edie Elizabeth Shulman has been issued the NPI (National Provider Identifier) 1659304673. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Edie Elizabeth Shulman located?

The Edie Elizabeth Shulman is located at 2608 Brockton Dr, Austin, TX 787584414.

What is Edie Elizabeth Shulman's specialized field of practice, and what is the corresponding taxonomy classification code?

The Edie Elizabeth Shulman's area of specialization is Clinic/center, and the corresponding taxonomy code that categorizes this field of practice is 261Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1659304673 to Edie Elizabeth Shulman?

The Centers for Medicare & Medicaid Services originally issued the 1659304673 to Edie Elizabeth Shulman on 2006-07-10.

As of what date were the details pertaining to Edie Elizabeth Shulman last refreshed?

The information related to the Edie Elizabeth Shulman, including its address, specialty, and other relevant details, was last updated on 2020-10-22.

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