Provider Demographics
NPI:1497753743
Name:NIA, RAMIN M (DC)
Entity type:Individual
Prefix:DR
First Name:RAMIN
Middle Name:M
Last Name:NIA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:3128 FOREST LN
Mailing Address - Street 2:SUITE 245
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7726
Mailing Address - Country:US
Mailing Address - Phone:972-241-4800
Mailing Address - Fax:972-241-4841
Practice Address - Street 1:3128 FOREST LN
Practice Address - Street 2:SUITE 245
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7726
Practice Address - Country:US
Practice Address - Phone:972-241-4800
Practice Address - Fax:972-241-4841
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXDC9183111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX35NROtherBLUE CROSS/SHIELD PIN