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Dr. Amy H Shah
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. Amy H Shah |
| Gender: | F |
| Provider License Number If Given: | N4080 |
NPI Information:
| NPI: | 1225022734 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 12/18/2013 |
Provider Business Mailing Address:
| Address: | PO BOX 26726 Austin, TX 78755 |
| Phone Number: | 5124078686 |
| Fax Number: | 5124066216 |
Provider Business Practice Location Address:
| Address: | 940 HESTERS CROSSING RD Round Rock, TX 78681 |
| Phone Number: | 5123466611 |
| Fax Number: | 5122315204 |
Provider Taxonomy:
| Primary: | 208000000X |
| Secondary (if any): | 208000000X |
| State: | TX |
