Edie E. Shulman M.D., PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J1568 Issued in TX

Legal business name

EDIE E. SHULMAN M.D., PLLC

Practice address

11673 Jollyville Rd.
Suite B-101
Austin, TX 78759-4200

Phone

(512) 339-1535

Fax

(512) 339-1526

NPI assigned

Feb 22, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Priscilla R. Martinez

Title

Office Manager

Phone

(512) 339-1535

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1003085176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11673 JOLLYVILLE RD.",
            "address_2": "SUITE B-101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787494200",
            "telephone_number": "512-339-1535",
            "fax_number": "512-339-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11673 JOLLYVILLE RD.",
            "address_2": "SUITE B-101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594200",
            "telephone_number": "512-339-1535",
            "fax_number": "512-339-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDIE E. SHULMAN M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-339-1535",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J1568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Edge
• Edgerton Health LTD LLP
• Dana E Edgerton, LPC
• Screven T Edgerton, MD
• Clayton Edgin
• Ernestine Edinburgh
• Sharon Hale Edington, AGACNP
• Dominick Edison
• Betty J Edmond, M.D.
• Cara M Edmond, LMSW

• Internal Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.