Individual
ALEX SHADID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1855 GATTIS SCHOOL RD, ROUND ROCK, TX 78664-7428
(512) 238-6268
Mailing address
5520 EMMA THOMPSON WAY, AUSTIN, TX 78747-1707
(405) 808-0396
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP130704
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367834401
—
TX
Enumeration date
09/18/2015
Last updated
09/18/2023
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