Individual
AHMED RAZA SHAKIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 5TH AVE STE 500, FORT WORTH, TX 76104-7304
(817) 250-4280
(817) 250-4281
Mailing address
800 5TH AVE STE 500, FORT WORTH, TX 76104-7304
(817) 250-4280
(817) 250-4281
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
001270
GA
207T00000X
Neurological Surgery Physician
Primary
P5134
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313934701
—
TX
Enumeration date
04/16/2007
Last updated
09/29/2021
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