Provider Demographics
NPI:1457716557
Name:HOSSEINI, HANIEH (DC)
Entity Type:Individual
Prefix:DR
First Name:HANIEH
Middle Name:
Last Name:HOSSEINI
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 1:14322 RIVER FOREST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-7417
Mailing Address - Country:US
Mailing Address - Phone:713-490-2225
Mailing Address - Fax:
Practice Address - Street 1:5180 BUFFALO SPEEDWAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-4215
Practice Address - Country:US
Practice Address - Phone:703-963-8973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-16
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12734111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor