Provider Demographics
NPI:1104264456
Name:SHOUKRY, AHMED FAYEZ (DPM)
Entity type:Individual
Prefix:DR
First Name:AHMED
Middle Name:FAYEZ
Last Name:SHOUKRY
Suffix:
Gender:
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8036 CAMP BOWIE WEST BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-6313
Mailing Address - Country:US
Mailing Address - Phone:817-494-0566
Mailing Address - Fax:817-612-3157
Practice Address - Street 1:801 ROAD TO SIX FLAGS W STE 150
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-2600
Practice Address - Country:US
Practice Address - Phone:817-860-9121
Practice Address - Fax:817-612-3157
Is Sole Proprietor?:No
Enumeration Date:2013-06-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07001238A213E00000X
TX2334213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist