Provider Demographics
NPI:1578572475
Name:YEGANEHJOO, AMIR A (DC)
Entity Type:Individual
Prefix:
First Name:AMIR
Middle Name:A
Last Name:YEGANEHJOO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2717 CROSS TIMBERS RD
Mailing Address - Street 2:STE 418
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-2706
Mailing Address - Country:US
Mailing Address - Phone:972-906-7988
Mailing Address - Fax:972-906-7989
Practice Address - Street 1:2717 CROSS TIMBERS RD
Practice Address - Street 2:STE 418
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-2706
Practice Address - Country:US
Practice Address - Phone:972-906-7988
Practice Address - Fax:972-906-7989
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10306111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor