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NPI Code Detail

MEDICARE: LEILA SHIRALI FNP-C

MEDICARE:   LEILA  SHIRALI  FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1068390TX
2207Q00000XFamily Medicine Physician1068390TX
3363L00000XNurse Practitioner1068390TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11068390OTHERTXAPRN

General Provider Information

NPI Number : 1972256667
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEILA SHIRALI FNP-C
Provider Business Mailing Address
First Line : 5527 THUNDER OAKS
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78261-2489
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6011 RANDOLPH BLVD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78233-5719
Country : US
Telephone Number : 210-729-5371
Fax Number : 833-914-0579
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2022
Last Update Date : 04/24/2023

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Directions to “ LEILA SHIRALI FNP-C” Practice Location

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