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General NPI Number Information
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NPI Number | 1104264456
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Entity Type | Individual
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Provider Name | AHMED FAYEZ SHOUKRY D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 06/10/2013
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 801 ROAD TO SIX FLAGS W STE 150
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City | ARLINGTON
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State | TX
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Zip | 76012-2600
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Country | US
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Telephone | 817-860-9121
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Fax | 817-612-3157
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Provider Business Mailing Address
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Address Line | 412 NMAIN ST SUITE 120
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City | FORT WORTH
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State | TX
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Zip | 76116-6313
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Country | US
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Telephone | 682-503-4197
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Fax | 833-871-8156
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 07001238A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 2334
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License Number State | TX
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