Individual provider · Type 1 NPI

Lauren Elizabeth Shirley

Surgical Physician Assistant · Fort Worth, TX

NPI number 1104628015 Active

Practice location

800 5th Ave Ste 500
Fort Worth, TX 76104-7304

Call (817) 250-4280 Map

Fax (817) 250-4281

Mailing address

932 Rosebud Dr
Azle, TX 76020-2454

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician 207T00000X799456 (TX)
Surgical Physician Assistant Primary 363AS0400XPA19265 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1104628015

Lauren Elizabeth Shirley's National Provider Identifier is 1104628015, issued on Mar 24, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Worth, TX. The record was last updated on Nov 3, 2025.