Individual
MRS. SHOBHA MATHEW DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
425 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1047
(512) 509-0200
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA09419
TX
363AM0700X
Medical Physician Assistant
—
TX
Other
Enumeration date
09/08/2014
Last updated
06/06/2023
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