Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 12989 | TX |
Y | 111NN1001X | Nutrition | 12989 | TX |
NPI | 1164893061 |
---|---|
Provider Name | Dr. Mehreen Nadeem |
First Address | Plano, TX 75023-3460 |
Second Address | Plano, TX 75023-4527 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2015 |
Last Update Date | 18/10/2015 |