Provider Demographics
NPI:1952503054
Name:NAIFEH CHIROPRACTIC PA
Entity Type:Organization
Organization Name:NAIFEH CHIROPRACTIC PA
Other - Org Name:SUPERIOR HEALTH CARE CENTRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:RUDOLPH
Authorized Official - Last Name:NAIFEH
Authorized Official - Suffix:
Authorized Official - Credentials:FNP, PMHNP, DC
Authorized Official - Phone:214-956-6995
Mailing Address - Street 1:3939 W GREEN OAKS BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-2792
Mailing Address - Country:US
Mailing Address - Phone:214-650-9816
Mailing Address - Fax:214-956-6987
Practice Address - Street 1:3939 W GREEN OAKS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-2792
Practice Address - Country:US
Practice Address - Phone:214-650-9816
Practice Address - Fax:214-956-6987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11532111N00000X
TXK2254208D00000X
TXE2567208D00000X
TX1127405225100000X
261QM1300X, 363LP0808X
TX774559363LF0000X
TX809344363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty