Provider Demographics
NPI:1629198049
Name:SHIRZAD, PYMAN (DC)
Entity Type:Individual
Prefix:DR
First Name:PYMAN
Middle Name:
Last Name:SHIRZAD
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 1:3381 SAM RAYBURN RUN
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-3216
Mailing Address - Country:US
Mailing Address - Phone:469-426-2308
Mailing Address - Fax:
Practice Address - Street 1:3381 SAM RAYBURN RUN
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-3216
Practice Address - Country:US
Practice Address - Phone:469-426-2308
Practice Address - Fax:972-662-5255
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9373111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation