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General NPI Number Information
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NPI Number | 1518200930
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Entity Type | Individual
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Provider Name | SAMANTHA COYLEEN SHAPIRO M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/03/2013
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 2901 MONTOPOLIS DR
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City | AUSTIN
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State | TX
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Zip | 78741-6411
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Country | US
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Telephone | 512-978-9901
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Fax | 512-901-9765
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Provider Business Mailing Address
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Address Line | 2901 MONTOPOLIS DR
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City | AUSTIN
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State | TX
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Zip | 78741-6411
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Country | US
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Telephone | 512-978-9901
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Fax | 512-901-9765
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | R7888
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | M-2306
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License Number State | GU
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R7888
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5255
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License Number State | MD
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