Provider Demographics
NPI:1528215563
Name:DR. ASHRAF A. SOOMAR-KHERAJ, INC.
Entity Type:Organization
Organization Name:DR. ASHRAF A. SOOMAR-KHERAJ, INC.
Other - Org Name:ASH CHIROPRACTIC AND ACUPUNCTURE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHRAF
Authorized Official - Middle Name:ALAUDDIN
Authorized Official - Last Name:SOOMAR-KHERAJ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-317-0680
Mailing Address - Street 1:4300 N JOSEY LN
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4744
Mailing Address - Country:US
Mailing Address - Phone:972-317-0680
Mailing Address - Fax:972-317-0690
Practice Address - Street 1:4300 N JOSEY LN
Practice Address - Street 2:SUITE 104
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4744
Practice Address - Country:US
Practice Address - Phone:972-317-0680
Practice Address - Fax:972-317-0690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-21
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10490111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1093903007OtherNPI - TYPE 1