Individual
ERIC J SHAHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
221 W. COLORDAO BLVD., #925, DALLAS, TX 75208-0001
(214) 947-8933
Mailing address
PO BOX 220749, DALLAS, TX 75320-0001
(214) 947-8933
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02495
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202117204
—
TX
05
—
202117205
—
TX
05
—
202117206
—
TX
Enumeration date
03/22/2007
Last updated
03/07/2023
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