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NPI Code Detail

MEDICARE: SHARIQUE ASLAM ANSARI M.D., MPH

MEDICARE: SHARIQUE ASLAM ANSARI M.D., MPH
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
12084N0400XNeurology PhysicianQ2505TX
22084N0008XNeuromuscular Medicine (Psychiatry & Neurology) PhysicianQ2505TX

General Provider Information

NPI Number : 1891944617
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARIQUE ASLAM ANSARI M.D., MPH
Provider Business Mailing Address
First Line : 3030 HARWOOD RD STE 100
Second Line :
City : BEDFORD
State : TX
Zip : 76021-3703
Country : US
Telephone Number : 817-267-6290
Fax Number : 817-267-0950
Provider Business Practice Location Address
First Line : 4525 HERITAGE TRACE PKWY STE 117
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-8910
Country : US
Telephone Number : 817-267-6290
Fax Number : 817-267-0950
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2008
Last Update Date : 12/05/2025

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