Provider Demographics
NPI:1144270448
Name:BILLAL, SHAZIA (MD)
Entity type:Individual
Prefix:DR
First Name:SHAZIA
Middle Name:
Last Name:BILLAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2830 REDWICK DR
Mailing Address - Street 2:2830 REDWICK DR
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-3177
Mailing Address - Country:US
Mailing Address - Phone:281-364-1700
Mailing Address - Fax:281-364-1700
Practice Address - Street 1:920 MEDICAL PLAZA DR
Practice Address - Street 2:520
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-3260
Practice Address - Country:US
Practice Address - Phone:281-364-1700
Practice Address - Fax:281-364-1710
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM2264207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX178413401Medicaid
TX8R9461OtherBCBS OF TX
TX8R9461OtherBCBS OF TX
TX178413401Medicaid