Individual
DR. EDIE ELIZABETH SHULMAN
Active
Individual
DR. EDIE ELIZABETH SHULMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J1568
TX
261Q00000X
Clinic/Center
J1568
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129250004
—
TX
01
—
81413J
BCBS
TX
01
—
8F7802
MEDICARE
TX
Enumeration date
07/10/2006
Last updated
10/03/2024
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