Provider Demographics
NPI:1548538135
Name:DFW REHAB AND DIAGNOSTICS INC.
Entity type:Organization
Organization Name:DFW REHAB AND DIAGNOSTICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ABBAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHEDI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-642-0868
Mailing Address - Street 1:2340 E TRINITY MILLS RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-1942
Mailing Address - Country:US
Mailing Address - Phone:972-478-4341
Mailing Address - Fax:972-478-4441
Practice Address - Street 1:2306 OAK LN
Practice Address - Street 2:UNIT 1A-206
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-8235
Practice Address - Country:US
Practice Address - Phone:972-642-0868
Practice Address - Fax:972-642-0876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10717111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty