Provider Demographics
NPI:1568574747
Name:NASSIRI, JAFAR (DC)
Entity Type:Individual
Prefix:DR
First Name:JAFAR
Middle Name:
Last Name:NASSIRI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:JAY
Other - Middle Name:
Other - Last Name:NASSIRI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:6666 HARWIN DR
Mailing Address - Street 2:SUITE 570
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036
Mailing Address - Country:US
Mailing Address - Phone:713-278-2772
Mailing Address - Fax:713-278-2410
Practice Address - Street 1:6666 HARWIN DR
Practice Address - Street 2:SUITE 570
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036
Practice Address - Country:US
Practice Address - Phone:713-278-2772
Practice Address - Fax:713-278-2410
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6463DC111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor