Tony Shallin, Mdpa
NPI #1811183924 in Georgetown, Texas
Provider Information
- NPI Number
- 1811183924
- Entity Type
- Organization
- Organization Name
- Tony Shallin, Mdpa
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Sep 21, 2007
- Last Updated
- Aug 21, 2024
Practice Location
- Address
- 3613 WILLIAMS DR STE 404
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78628-1370
- Phone
- (512) 930-4275
Authorized Official
- Name
- DR. TONY SHALLIN, MD
- Title
- OWNER/PHYSICIAN
- Phone
- (512) 930-4275
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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