Provider Demographics
NPI:1740677012
Name:SHAHBAZ, ANAM (PA-C)
Entity type:Individual
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First Name:ANAM
Middle Name:
Last Name:SHAHBAZ
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:13988 DIPLOMAT DR
Mailing Address - Street 2:STE 100
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-8831
Mailing Address - Country:US
Mailing Address - Phone:972-608-2025
Mailing Address - Fax:972-608-2032
Practice Address - Street 1:4001 W 15TH ST
Practice Address - Street 2:STE. 200
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5841
Practice Address - Country:US
Practice Address - Phone:972-608-2025
Practice Address - Fax:972-608-2032
Is Sole Proprietor?:No
Enumeration Date:2015-04-23
Last Update Date:2021-08-27
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Provider Licenses
StateLicense IDTaxonomies
TX363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical