Provider Demographics
NPI:1225774250
Name:SHAHZAD, SAMI (DPT)
Entity Type:Individual
Prefix:MR
First Name:SAMI
Middle Name:
Last Name:SHAHZAD
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2014 YELLOWSTONE LN
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-6432
Mailing Address - Country:US
Mailing Address - Phone:972-795-3562
Mailing Address - Fax:
Practice Address - Street 1:3059 CHAMPION WAY STE 400
Practice Address - Street 2:
Practice Address - City:MELISSA
Practice Address - State:TX
Practice Address - Zip Code:75454-2795
Practice Address - Country:US
Practice Address - Phone:469-885-8671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist