EDIE E. SHULMAN M.D., PLLC
Osteopathic Medicine in Austin, TX

License number
Texas J1568
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: MRS. PRISCILLA R. MARTINEZ
Title: OFFICE MANAGER
Phone: (512) 339-1535
Address
Address
11673 Jollyville Rd. SUITE B-101, Austin, TX 78759
National Provider ID: 1003085176
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EDIE E. SHULMAN, M.D. PLLC

1814 Canonero Dr, Austin, TX 78746

Industry:
Medical Doctor's Office
Doing business as:
Edie E. Shulman, M.D. Pllc
Registration:
Jan 25, 2008
State ID:
0800928809
Business type:
Domestic Limited Liability Company (LLC)
DIRECTOR, Managing Member, Director:
Edie E Shulman (DIRECTOR, Managing Member, Director), 1814 Canonero Dr, Austin, TX 78746
Agent:
Edie E. Shulman,1814 Canonero Dr, Austin, TX 78746 (Physical)
TIN:
32034576366

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