Provider Demographics
NPI:1821263583
Name:ABTAHI, MASOMEH DELLA (DC)
Entity Type:Individual
Prefix:DR
First Name:MASOMEH
Middle Name:DELLA
Last Name:ABTAHI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9701 RICHMOND AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-4622
Mailing Address - Country:US
Mailing Address - Phone:713-410-5677
Mailing Address - Fax:
Practice Address - Street 1:9701 RICHMOND AVE
Practice Address - Street 2:SUIT 150
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4633
Practice Address - Country:US
Practice Address - Phone:713-410-5677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8117111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner