# RESHAPED PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184106510
- **Authorized official:** DR. SHARLENE KARMINI SELVARATNAM MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (469) 431-0544

## Contact information

- **Practice address:** 2008 E HEBRON PKWY \#114, CARROLLTON, TX 75007
- **Practice address phone:** (469) 431-0544
- **Mailing address:** 2008 E HEBRON PKWY STE 114, CARROLLTON, TX 75007-1601
- **Mailing address phone:** (469) 431-0544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | Q7467 | TX | Yes |

## Other

- **Enumeration date:** 09/01/2018
- **Last updated:** 06/29/2024