Provider Demographics
NPI:1033443353
Name:GHAZI ENTERPRISES INC
Entity Type:Organization
Organization Name:GHAZI ENTERPRISES INC
Other - Org Name:AUSTIN CHIROPRACTIC NEUROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:GHAZI
Authorized Official - Suffix:
Authorized Official - Credentials:DC, DACNB
Authorized Official - Phone:512-257-1500
Mailing Address - Street 1:7701 SAN FELIPE BLVD
Mailing Address - Street 2:STE 101
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-7623
Mailing Address - Country:US
Mailing Address - Phone:512-257-1500
Mailing Address - Fax:
Practice Address - Street 1:7701 SAN FELIPE BLVD
Practice Address - Street 2:STE 101
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78729-7623
Practice Address - Country:US
Practice Address - Phone:512-257-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10221111NN0400X, 111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty