Organization · NPI-2

Aitazaz A. Shah M.D PA

Clinic/Center · Denton, TX

NPI number1376729194
StatusActive
Last updated in NPPESJan 10, 2008

Details

NPI
1376729194
Entity type
Organization (NPI-2)
Legal business name
Aitazaz A. Shah M.D PA
Organization subpart
No
Enumeration date
Jan 10, 2008
Last updated
Jan 10, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterL9471TXYes

Practice location

2900 N I-35
Suite 118
Denton, TX 76201-5141

Phone 940-380-8100 · Fax 940-380-8112

Mailing address

2900 N I-35
Suite 118
Denton, TX 76201-5141

Phone 940-380-8100 · Fax 940-380-8112

Authorized official

Aitazaz A Shah
President
9403808100

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center providers in Denton, TX