Healthcare Provider Details

I. General information

NPI: 1598448516
Provider Name (Legal Business Name): DURAR SHAKIR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2023
Last Update Date: 08/08/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11903 BELLAIRE BLVD STE 1201
HOUSTON TX
77072-2310
US

IV. Provider business mailing address

11903 BELLAIRE BLVD STE 1201
HOUSTON TX
77072-2310
US

V. Phone/Fax

Practice location:
  • Phone: 832-395-8950
  • Fax:
Mailing address:
  • Phone: 832-395-8950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: