Provider Demographics
NPI:1467229930
Name:FAISAL, SHIREEN (DNAP)
Entity type:Individual
Prefix:DR
First Name:SHIREEN
Middle Name:
Last Name:FAISAL
Suffix:
Gender:F
Credentials:DNAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4269 KIOWA DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-3303
Mailing Address - Country:US
Mailing Address - Phone:469-605-7876
Mailing Address - Fax:
Practice Address - Street 1:4269 KIOWA DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-3303
Practice Address - Country:US
Practice Address - Phone:469-605-7876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1138330367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered