Individual
DR. SHADI MOURAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 E COURT ST, SEGUIN, TX 78155-5719
(210) 655-8470
(210) 967-0276
Mailing address
16620 N US HIGHWAY 281, SUITE 300, SAN ANTONIO, TX 78232-2327
(210) 614-1231
(210) 616-0704
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
N1000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195928001
—
TX
Enumeration date
05/09/2007
Last updated
07/18/2019
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