Healthcare Provider Details

I. General information

NPI: 1205757796
Provider Name (Legal Business Name): SHOLAKH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8707 VALLEY RANCH PKWY W
IRVING TX
75063-9349
US

IV. Provider business mailing address

5900 BALCONES DR STE 100
AUSTIN TX
78731-4298
US

V. Phone/Fax

Practice location:
  • Phone: 972-920-7920
  • Fax:
Mailing address:
  • Phone: 972-920-7920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ALBERT M SHOLAKH
Title or Position: ADMINISTRATOR
Credential: MD
Phone: 972-920-7920