MEDICARE: SHAMIN MASROUR

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
1	207R00000X	Internal Medicine Physician	BP10042773	TX
2	2084N0400X	Neurology Physician	Q8302	TX

General Provider Information

NPI Number	:	1013275676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAMIN MASROUR

Provider Business Mailing Address
First Line	:	5439 GLEN LAKES DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4307
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5439 GLEN LAKES DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4307
Country	:	US
Telephone Number	:	214-620-0920
Fax Number	:	214-216-4574

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2012
Last Update Date	:	04/01/2025

Similar Medicare Providers

1003188277 — THERAPEUTIC MOVEMENTS, LLC
Practice Location Address:

5439 GLEN LAKES DR
DALLAS, TX
75231-4307

Practice Phone: 214-212-3048
Practice Fax:

1962766188 — MISS PAULA'S MUSIC THERAPY SERVICES LLC
Practice Location Address:

5439 GLEN LAKES DR
DALLAS, TX
75231-4307

Practice Phone: 816-813-1128
Practice Fax:

1780057224 — BRITTNEY WELCHON SLP-CFY
Practice Location Address:

5439 GLEN LAKES DR
DALLAS, TX
75231-4307

Practice Phone: 469-759-3826
Practice Fax:

1922899517 — TEXAS HEADACHE AND FACIAL PAIN CENTER
Practice Location Address:

5439 GLEN LAKES DR
DALLAS, TX
75231-4307

Practice Phone: 214-620-0920
Practice Fax:

1760336739 — EDUARDO MARIN LUNA
Practice Location Address:

1200 MAIN ST APT 1704
DALLAS, TX
75202-4307

Practice Phone: 214-898-0626
Practice Fax:

1134380504 — MRS. TIFFANY SHUNNTA NEWHOUSE-SMITH
Practice Location Address:

3815 LOVINGOOD DR
DALLAS, TX
75241-4307

Practice Phone: 214-680-2305
Practice Fax: 214-372-1903

Directions to “ SHAMIN MASROUR ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.