Provider Demographics
NPI:1225371586
Name:SHEYDWASSER, ALAN MATTHEW (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:MATTHEW
Last Name:SHEYDWASSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11811 FM 1960 RD W STE 165
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3828
Mailing Address - Country:US
Mailing Address - Phone:713-913-3764
Mailing Address - Fax:713-913-3790
Practice Address - Street 1:11811 FM 1960 RD W STE 165
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3828
Practice Address - Country:US
Practice Address - Phone:713-913-3764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-04
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR5318207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology