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Individual

SHAI MANZURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390-7208
(214) 456-5095
(214) 456-5071
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 456-5095
(214) 456-5071

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
N1387
TX
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
N1387
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/09/2008
Last updated
09/27/2012
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