Provider Demographics
NPI:1790793180
Name:ZEIN, GHASSAN A (DC,)
Entity Type:Individual
Prefix:DR
First Name:GHASSAN
Middle Name:A
Last Name:ZEIN
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 1:1116 WESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-8502
Mailing Address - Country:US
Mailing Address - Phone:972-437-6511
Mailing Address - Fax:972-437-3070
Practice Address - Street 1:813 S SHERMAN ST
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-4031
Practice Address - Country:US
Practice Address - Phone:972-437-6511
Practice Address - Fax:972-437-3070
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU89167Medicare UPIN
TX8456B0Medicare ID - Type Unspecified