Provider Demographics
NPI:1821257080
Name:RICHMOND PAIN RELIEF CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:RICHMOND PAIN RELIEF CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOMAYOON
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAJER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-784-8189
Mailing Address - Street 1:6423 RICHMOND AVE STE I
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-5926
Mailing Address - Country:US
Mailing Address - Phone:713-784-8189
Mailing Address - Fax:713-784-8244
Practice Address - Street 1:6423 RICHMOND AVE STE I
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-5926
Practice Address - Country:US
Practice Address - Phone:713-784-8189
Practice Address - Fax:713-784-8244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6726111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty