MEDICARE: SHELBY ALYSON CLARDY PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	363A00000X	Physician Assistant	16377	TX

General Provider Information

NPI Number	:	1275262081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELBY ALYSON CLARDY PA-C

Provider Business Mailing Address
First Line	:	2200 E PALM VALLEY BLVD STE 118
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-4534
Country	:	US
Telephone Number	:	512-318-2174
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 E PALM VALLEY BLVD STE 118
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-4534
Country	:	US
Telephone Number	:	512-318-2174
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2022
Last Update Date	:	02/16/2024

Similar Medicare Providers

1114609112 — SAMANTHA LAZARSKI
Practice Location Address:

2250 E PALM VALLEY BLVD STE 205
ROUND ROCK, TX
78665-4534

Practice Phone: 512-975-7199
Practice Fax:

1063305837 — TAVIA WILLIAMS OTD, OTR/L
Practice Location Address:

4534 WANDERING VINE TRL
ROUND ROCK, TX
78665-1267

Practice Phone: 870-390-6539
Practice Fax:

1821834185 — ALIVIA GUTHRIE
Practice Location Address:

300 UNIVERSITY BLVD BLDG A
ROUND ROCK, TX
78665-1032

Practice Phone: 254-724-2111
Practice Fax:

1982483368 — KAIAH OPEL APRN
Practice Location Address:

4681 COLLEGE PARK DR
ROUND ROCK, TX
78665-1526

Practice Phone: 512-671-1100
Practice Fax:

1588615603 — PATRICIA C LEE M.D.
Practice Location Address:

302 UNIVERSITY BLVD
ROUND ROCK, TX
78665-1032

Practice Phone: 512-509-0200
Practice Fax: 512-218-6330

1235389149 — JAIME A HERNANDEZ MONTFORT M.D.
Practice Location Address:

302 UNIVERSITY BLVD
ROUND ROCK, TX
78665-1032

Practice Phone: 512-509-0200
Practice Fax:

Directions to “ SHELBY ALYSON CLARDY PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.