Shadid, Alex
Shadid, Alex is an individual health care provider with primary practice located at 1855 Gattis School Rd , Round Rock TX 78664-7428. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Shadid, Alex can be contacted via phone (512) 238-6268.Contact Information
Primary practice address
1855 Gattis School Rd
Round Rock TX 78664-7428
Phone: (512) 238-6268
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP130704 | Texas |
Profile Details
| NPI number | 1477922557 |
|---|---|
| LBN Legal business name | Shadid, Alex |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2015 |
| Last updated | Sep 18th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477922557 | NPPES |
| Texas | MEDICAID | 367834401 |
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