Provider Demographics
NPI:1265024343
Name:MALEKI, ASEF (DC)
Entity Type:Individual
Prefix:DR
First Name:ASEF
Middle Name:
Last Name:MALEKI
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 1:3330 N GALLOWAY AVE STE 324
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-4767
Mailing Address - Country:US
Mailing Address - Phone:214-239-2185
Mailing Address - Fax:214-239-2189
Practice Address - Street 1:3330 N GALLOWAY AVE STE 324
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-4767
Practice Address - Country:US
Practice Address - Phone:214-239-2185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14651111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation