Individual
MANDY SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 HILLCREST MEDICAL BLVD, WACO, TX 76712-8897
(254) 202-2000
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME140040
FL
207L00000X
Anesthesiology Physician
Primary
T8769
TX
Other
Enumeration date
03/23/2015
Last updated
04/12/2024
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