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:
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Health care specialties

SpecialtyCodeLicense #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 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477727741 NPPES
Texas MEDICAID 195601301
Texas Other P00736997
Texas Other 8X5113

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