Provider Demographics
NPI:1619409315
Name:DR. Z CHIROPRACTIC AND REHAB CLINIC
Entity Type:Organization
Organization Name:DR. Z CHIROPRACTIC AND REHAB CLINIC
Other - Org Name:COMPLETE SPINAL CARE AND REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GHASSAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-437-6511
Mailing Address - Street 1:11404 AUDELIA RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-7309
Mailing Address - Country:US
Mailing Address - Phone:972-437-6511
Mailing Address - Fax:972-437-3070
Practice Address - Street 1:11404 AUDELIA RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-7309
Practice Address - Country:US
Practice Address - Phone:972-437-6511
Practice Address - Fax:972-437-3070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-31
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty