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Individual

DR. TARIQ SHAFI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2601 THORNTON LN, TEMPLE, TX 76502-1808
(254) 724-6622
(254) 724-6620
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D64330
MD
207RN0300X
Nephrology Physician
D64330
MD
207RN0300X
Nephrology Physician
Primary
T9497
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
414868100
MD
Enumeration date
01/12/2007
Last updated
10/15/2024
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