Provider Demographics
NPI:1417130493
Name:DFW REHAB & DIAGNOSTIC
Entity Type:Organization
Organization Name:DFW REHAB & DIAGNOSTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABBAS
Authorized Official - Middle Name:R
Authorized Official - Last Name:ZAHEDI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:469-426-2308
Mailing Address - Street 1:PO BOX 118767
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75011-8767
Mailing Address - Country:US
Mailing Address - Phone:469-426-2308
Mailing Address - Fax:972-662-5255
Practice Address - Street 1:111 S CEDAR RIDGE DR
Practice Address - Street 2:SUITE 120
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-4534
Practice Address - Country:US
Practice Address - Phone:469-426-2308
Practice Address - Fax:972-662-5255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10717111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty