Individual
MR. SHAKEEL C SHARIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
900 8TH AVE, FORT WORTH, TX 76104-3902
(817) 262-9866
Mailing address
4164 HALLMONT DR, GRAPEVINE, TX 76051-6546
(817) 262-9866
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA06392
TX
363AS0400X
Surgical Physician Assistant
PA9103955
FL
Other
Enumeration date
02/13/2007
Last updated
05/16/2022
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