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NPI Code Detail

MEDICARE: SHAMSAD TEXIWALA MSW, LCSW

MEDICARE: SHAMSAD TEXIWALA MSW, LCSW
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
11041C0700XClinical Social Worker114854TX

General Provider Information

NPI Number : 1295549020
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAMSAD TEXIWALA MSW, LCSW
Provider Business Mailing Address
First Line : 300 DECKER DR STE 360
Second Line :
City : IRVING
State : TX
Zip : 75062-8189
Country : US
Telephone Number : 469-289-2844
Fax Number :
Provider Business Practice Location Address
First Line : 300 DECKER DR STE 360
Second Line :
City : IRVING
State : TX
Zip : 75062-8189
Country : US
Telephone Number : 469-289-2844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2025
Last Update Date : 02/03/2025

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