Individual
MR. SHERVIN SHAYEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8200 WALNUT HILL LN, DALLAS, TX 75231-4402
(214) 345-6789
Mailing address
12254 RIDGEFAIR PL, DALLAS, TX 75234-7806
(405) 875-5537
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1124677
TX
163W00000X
Registered Nurse
R0112335
OK
363LA2100X
Acute Care Nurse Practitioner
Primary
1124677
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
205439
OK
Other
Enumeration date
09/14/2021
Last updated
05/27/2026
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