Shahidi, Lori Ann
Shahidi, Lori Ann is an sole proprietor health care provider with primary practice located at 305 Miron Dr , Southlake TX 76092-7831. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Shahidi, Lori Ann can be contacted via phone (817) 488-1950.Contact Information
Primary practice address
305 Miron Dr
Southlake TX 76092-7831
Phone: (817) 488-1950
Fax: (817) 305-0162
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | M9648 | Texas |
Profile Details
| NPI number | 1477727741 |
|---|---|
| LBN Legal business name | Shahidi, Lori Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2008 |
| Last updated | Apr 1st, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477727741 | NPPES |
| Texas | MEDICAID | 195601301 | |
| Texas | Other | P00736997 | |
| Texas | Other | 8X5113 |
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