NPI 1689842791

Sha LLC

Organisation Health Maintenance Organization Austin, TX

Practice location

Address: 12940 North Highway 183, Austin, TX 78750-3235
Phone: (512) 257-6209
Fax: (512) 257-6062

Authorised official

Name: Keenan Freeman
Title: Sr Vice President & Cfo
Phone: (512) 257-6209

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 13295 (TX)

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Registry record

NPI: 1689842791
Entity type: Organization
NPI issued: 12 Feb 2008
Record last updated: 12 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.