Provider Demographics
NPI:1164893061
Name:NADEEM, MEHREEN (DC)
Entity Type:Individual
Prefix:DR
First Name:MEHREEN
Middle Name:
Last Name:NADEEM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6505 ROUNDROCK TRL
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-3460
Mailing Address - Country:US
Mailing Address - Phone:937-470-3983
Mailing Address - Fax:
Practice Address - Street 1:2121 W SPRING CREEK PKWY STE 111
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-4527
Practice Address - Country:US
Practice Address - Phone:937-470-3983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-18
Last Update Date:2015-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12989111N00000X, 111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
No111N00000XChiropractic ProvidersChiropractor