Individual
ZIYAD SHAKLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
12221 MERIT DR, SUITE 1500, DALLAS, TX 75251-2202
(469) 662-7437
Mailing address
12221 MERIT DR, SUITE 1500, DALLAS, TX 75251-2202
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
758037
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308460002
—
TX
Enumeration date
02/07/2012
Last updated
11/22/2016
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