Individual
SHAHERYAR J. HAFEEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-8555
(210) 358-8576
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 358-8555
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
Q9367
TX
2084N0400X
Neurology Physician
Q9367
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123133
—
OH
05
—
360474601
—
TX
01
—
360474602
CSHCN
TX
Enumeration date
04/08/2010
Last updated
01/31/2017
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