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Mahnaz Shambayati is one of 58 physician assistants practicing in Lewisville, Texas .
Mahnaz Shambayati practices with Legacy Healthcare Services Inc.
Registry record (NPPES)
NPI
1639574395
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
1650 Adams Ave Costa Mesa, CA 92626-4958 (949) 270-2100
Enumerated
Oct 23, 2014
Record last updated
Jun 22, 2026
License states listed
CA
Medicare (CMS)
Enrollment
Medicare-enrolled in CA, TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
800 College Pkwy
Lewisville , TX 75077
(972) 420-8543
More physician assistants in Lewisville
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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