Individual ProviderShazli NaseerFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1350 S Main St Ste 1250, Fort Worth, TX 76104(817) 702-9355(817) 702-8450PECOS EnrollmentBased on the most recent information from CMS, provider Shazli Naseer is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1912928987Provider TypeIndividualFull NameNaseer, ShazliCredentialMDGenderFemaleSole ProprietorNoEnumeration Date7/22/2006Last Updated1/25/2019Contact InformationPractice LocationPractice Address1350 S Main St Ste 1250, Fort Worth, TX 76104Phone(817) 702-9355Fax(817) 702-3865Mailing LocationMailing AddressPO Box 732973, Dallas, TX 75373-2973Phone(817) 702-8450FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseM8205TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID200062380ADescriptionMedicaidIssuerUnlistedOklahoma