Provider Demographics
NPI:1306858899
Name:AZHDARINIA, PARVIN NAMDARI (DC)
Entity Type:Individual
Prefix:DR
First Name:PARVIN
Middle Name:NAMDARI
Last Name:AZHDARINIA
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 1:12000 RICHMOND AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2428
Mailing Address - Country:US
Mailing Address - Phone:713-334-0530
Mailing Address - Fax:713-334-0552
Practice Address - Street 1:12000 RICHMOND AVE STE 330
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2428
Practice Address - Country:US
Practice Address - Phone:713-334-0530
Practice Address - Fax:713-334-0552
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7825111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K1197OtherBLUECROSS/BLUESHIELD
TXU71475Medicare UPIN
TX8K1197OtherBLUECROSS/BLUESHIELD
TX8C7358Medicare PIN