Provider Demographics
NPI:1952167157
Name:SHAYGINIK, MARYAM (DC)
Entity Type:Individual
Prefix:DR
First Name:MARYAM
Middle Name:
Last Name:SHAYGINIK
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 1:7555 WARREN PKWY APT 496
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0328
Mailing Address - Country:US
Mailing Address - Phone:818-370-1594
Mailing Address - Fax:
Practice Address - Street 1:7555 WARREN PKWY APT 496
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-0328
Practice Address - Country:US
Practice Address - Phone:818-370-1594
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14852111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor