Provider Demographics
NPI:1184787616
Name:MOBASHERI, NASSRIN NOWROOZI (DC)
Entity type:Individual
Prefix:MRS
First Name:NASSRIN
Middle Name:NOWROOZI
Last Name:MOBASHERI
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 1:4011 WATERVIEW CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2309
Mailing Address - Country:US
Mailing Address - Phone:281-267-4015
Mailing Address - Fax:713-781-0222
Practice Address - Street 1:4011 WATERVIEW CT
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2309
Practice Address - Country:US
Practice Address - Phone:281-267-4015
Practice Address - Fax:713-781-0222
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5845111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5845OtherLICENSE
TX603519Medicare ID - Type Unspecified
TX5845OtherLICENSE