Provider Demographics
NPI:1588200448
Name:RJ CHIRO REHAB CENTER
Entity Type:Organization
Organization Name:RJ CHIRO REHAB CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:REZA
Authorized Official - Middle Name:K
Authorized Official - Last Name:JAFARI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-667-0622
Mailing Address - Street 1:9610 LONG POINT RD STE 114
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-4289
Mailing Address - Country:US
Mailing Address - Phone:713-677-0622
Mailing Address - Fax:713-456-2673
Practice Address - Street 1:9610 LONG POINT RD STE 114
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-4289
Practice Address - Country:US
Practice Address - Phone:713-677-0622
Practice Address - Fax:713-456-2673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty