Provider Demographics
NPI:1891193058
Name:MARZBAN, FARZAD (DC)
Entity Type:Individual
Prefix:DR
First Name:FARZAD
Middle Name:
Last Name:MARZBAN
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 1:1930 E ROSEMEADE PKWY STE 106
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-2467
Mailing Address - Country:US
Mailing Address - Phone:214-729-1262
Mailing Address - Fax:
Practice Address - Street 1:1930 E ROSEMEADE PKWY STE 106
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-2467
Practice Address - Country:US
Practice Address - Phone:214-729-1262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-19
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12820111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology