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Individual
AUSTIN ANDREW SHELTON
Active
Individual
AUSTIN ANDREW SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-S
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
1526
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
347331601
—
TX
01
—
P01237658
RAILROAD MEDICARE
TX
Enumeration date
04/15/2013
Last updated
08/13/2020
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