Provider Demographics
NPI:1285742320
Name:DOCTORS FAMILY CLINIC PC
Entity type:Organization
Organization Name:DOCTORS FAMILY CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR AT THE CLINIC
Authorized Official - Prefix:
Authorized Official - First Name:HAMID
Authorized Official - Middle Name:S
Authorized Official - Last Name:SOHRABIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-692-6938
Mailing Address - Street 1:4625 NORTH FRWY
Mailing Address - Street 2:#201
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77022
Mailing Address - Country:US
Mailing Address - Phone:713-692-6938
Mailing Address - Fax:713-692-6887
Practice Address - Street 1:4625 NORTH FRWY
Practice Address - Street 2:#201
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022
Practice Address - Country:US
Practice Address - Phone:713-692-6938
Practice Address - Fax:713-692-6887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8182111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX609536Medicare ID - Type Unspecified