Individual
ALIREZA ALLEN SHAKOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 E SOUTHLAKE BLVD, STE 300, SOUTHLAKE, TX 76092-6375
(817) 421-0770
(817) 424-8431
Mailing address
900 E SOUTHLAKE BLVD, STE 300, SOUTHLAKE, TX 76092-6375
(817) 421-0770
(817) 421-4759
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
N2294
TX
207KA0200X
Allergy Physician
Primary
N2294
TX
Other
Enumeration date
05/22/2007
Last updated
01/09/2024
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