Provider Demographics
NPI:1831764695
Name:CENTER OF CHIROPRACTIC
Entity type:Organization
Organization Name:CENTER OF CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAHRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAKERI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:832-230-8059
Mailing Address - Street 1:11635 KATY FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1801
Mailing Address - Country:US
Mailing Address - Phone:832-230-8059
Mailing Address - Fax:
Practice Address - Street 1:11635 KATY FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1801
Practice Address - Country:US
Practice Address - Phone:832-230-8059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-24
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty