Provider Demographics
NPI:1922032663
Name:FARAHANI, ERIN MAHIN (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:MAHIN
Last Name:FARAHANI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:MAHIN
Other - Last Name:FARAHANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:109 S OHIO ST
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-6515
Mailing Address - Country:US
Mailing Address - Phone:972-382-4849
Mailing Address - Fax:972-382-4809
Practice Address - Street 1:109 S OHIO ST
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009-0822
Practice Address - Country:US
Practice Address - Phone:972-382-4849
Practice Address - Fax:972-382-4809
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC7133111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB136745OtherMEDICARE ID
TX001971302Medicaid
U64465Medicare UPIN