Individual
ASHLEY MICHELLE SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1111 W 34TH ST, SUITE 200, AUSTIN, TX 78705
(512) 324-3405
(210) 450-6027
Mailing address
1111 W 34TH ST, SUITE 200, AUSTIN, TX 78705
(210) 450-9500
(210) 450-6027
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
397270501
—
TX
01
—
397270502
CSHCN
TX
Enumeration date
01/30/2019
Last updated
09/25/2023
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