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NPI 1366652208

IndividualActive

Alireza Shakouri, MD

NPI 1366652208 · Allergy Physician · Southlake, TX

Provider details

NPI number: 1366652208
Entity type: Individual
Primary specialty: Allergy PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: N2294 (TX)

Practice location

900 E Southlake Blvd

Ste 300

Southlake, TX 76092-6375

Phone: (817) 421-0770

Fax: (817) 424-8431

More TX providers

Mailing address

900 E Southlake Blvd

Southlake, TX 76092-6375

Registry dates

Enumerated: 2007-05-22
Last updated: 2024-01-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alireza Shakouri, MD — NPI 1366652208, Southlake, TX | NPI Central