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Organization
TONY SHALLIN, MDPA
Active
Organization
TONY SHALLIN, MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY SHALLIN MD (OWNER/PHYSICIAN)
(512) 930-4275
Entity
Organization
Contact information
Practice address
3613 WILLIAMS DR STE 404, GEORGETOWN, TX 78628-1370
(512) 930-4275
(512) 930-4093
Mailing address
3613 WILLIAMS DR STE 404, GEORGETOWN, TX 78628-1370
(512) 930-4275
(512) 930-4093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J2323
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172700001
—
TX
Enumeration date
09/21/2007
Last updated
08/21/2024
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