Provider Demographics
NPI:1073960571
Name:ACFAR, PLLC
Entity Type:Organization
Organization Name:ACFAR, PLLC
Other - Org Name:INJURY RELIEF CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARASH
Authorized Official - Middle Name:
Authorized Official - Last Name:PAYROVAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-232-2227
Mailing Address - Street 1:1055 S SHERMAN ST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-5095
Mailing Address - Country:US
Mailing Address - Phone:972-232-2227
Mailing Address - Fax:972-332-2902
Practice Address - Street 1:1055 S SHERMAN ST
Practice Address - Street 2:SUITE 150
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-5095
Practice Address - Country:US
Practice Address - Phone:972-232-2227
Practice Address - Fax:972-332-2902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-16
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9944111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX9944OtherCHIROPRACTIC LICENSE