Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | DC10123 | TX |
NPI | 1225108608 |
---|---|
Provider Name | Dr. Parrissa Mohajer |
First Address | Houston, TX 77057-5926 |
Second Address | Houston, TX 77057-5926 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 08/07/2007 |