MEDICARE: MASHRIN LIRA CHOWDHURY

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	208800000X	Urology Physician	20A16195	CA
2	390200000X	Student in an Organized Health Care Education/Training Program

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	S2258	OTHER	TX	TEXAS MEDICAL BOARD LICENSE

General Provider Information

NPI Number	:	1831430255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MASHRIN LIRA CHOWDHURY

Provider Business Mailing Address
First Line	:	5001 S COOPER ST STE 201
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-5993
Country	:	US
Telephone Number	:	866-367-8768
Fax Number	:	817-541-9555

Provider Business Practice Location Address
First Line	:	7250 HAWKINS VIEW DR STE 411
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132
Country	:	US
Telephone Number	:	866-367-8768
Fax Number	:	817-541-9401

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

Provider Enumeration Date	:	03/11/2013
Last Update Date	:	12/06/2023

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Directions to “ MASHRIN LIRA CHOWDHURY ” Practice Location

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