Provider Demographics
NPI:1912042953
Name:PAYROVAN, ARASH MOHAMAD (DC)
Entity Type:Individual
Prefix:DR
First Name:ARASH
Middle Name:MOHAMAD
Last Name:PAYROVAN
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 1:4748 HOLLY TREE DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-7219
Mailing Address - Country:US
Mailing Address - Phone:972-467-1011
Mailing Address - Fax:972-312-9303
Practice Address - Street 1:105 KATHRYN DR STE C
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-4200
Practice Address - Country:US
Practice Address - Phone:972-467-1011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9944111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor