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Individual

LAUREN ELIZABETH SHIRLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
800 5TH AVE STE 500, FORT WORTH, TX 76104-7304
(817) 250-4280
(817) 250-4281
Mailing address
932 ROSEBUD DR, AZLE, TX 76020-2454
(817) 991-5844

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
799456
TX
363AS0400X
Surgical Physician Assistant
Primary
PA19265
TX

Other

Enumeration date
03/24/2025
Last updated
11/03/2025
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