Provider Demographics
NPI:1073738787
Name:JALALI, MEHDI (DC)
Entity Type:Individual
Prefix:DR
First Name:MEHDI
Middle Name:
Last Name:JALALI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2675 TARNA DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-2222
Mailing Address - Country:US
Mailing Address - Phone:972-241-4800
Mailing Address - Fax:972-241-4841
Practice Address - Street 1:2675 TARNA DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75229-2222
Practice Address - Country:US
Practice Address - Phone:972-241-4800
Practice Address - Fax:972-241-4841
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC5705111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor