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NPI Code Detail

MEDICARE: SHABBA ANTHONY ARMBRISTER MD

MEDICARE:   SHABBA ANTHONY ARMBRISTER  MD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1912855248
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHABBA ANTHONY ARMBRISTER MD
Provider Business Mailing Address
First Line : 425 UNIVERSITY BLVD STE 500
Second Line :
City : ROUND ROCK
State : TX
Zip : 78665-1360
Country : US
Telephone Number : 512-509-3412
Fax Number :
Provider Business Practice Location Address
First Line : 425 UNIVERSITY BLVD STE 500
Second Line :
City : ROUND ROCK
State : TX
Zip : 78665-1360
Country : US
Telephone Number : 512-509-3412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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Directions to “ SHABBA ANTHONY ARMBRISTER MD” Practice Location

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