Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 14651 | TX |
NPI | 1265024343 |
---|---|
Provider Name | Dr. Asef Maleki |
First Address | Mesquite, TX 75150-4767 |
Second Address | Mesquite, TX 75150-4767 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2021 |
Last Update Date | 09/02/2021 |