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General NPI Number Information
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NPI Number | 1548480338
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Entity Type | Individual
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Provider Name | ANUPAMA A. SHULTZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 06/21/2012
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Provider Practice Location Address
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Address Line | 17080 RED OAKS DRIVE
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City | HOUSTON
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State | TX
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Zip | 77090-2602
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Country | US
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Telephone | 281-586-0834
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Fax | 281-586-0923
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Provider Business Mailing Address
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Address Line | PO BOX 203268
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City | DALLAS
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State | TX
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Zip | 75320-3268
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Country | US
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Telephone | 281-586-0834
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Fax | 281-586-0923
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | E-5078
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | L7182
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License Number State | TX
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