Provider Demographics
NPI:1578564308
Name:JAMEOSSANAIE, ALIREZA (DC)
Entity Type:Individual
Prefix:DR
First Name:ALIREZA
Middle Name:
Last Name:JAMEOSSANAIE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:AL
Other - Middle Name:
Other - Last Name:JAMESON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:9111 KATY FWY
Mailing Address - Street 2:SUITE 226
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1648
Mailing Address - Country:US
Mailing Address - Phone:713-467-6999
Mailing Address - Fax:270-568-6757
Practice Address - Street 1:9111 KATY FWY
Practice Address - Street 2:SUITE 226
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1648
Practice Address - Country:US
Practice Address - Phone:713-467-6999
Practice Address - Fax:270-568-6757
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10111111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor