Provider Demographics
NPI:1487964334
Name:MARAGHI, AZAR (DC)
Entity type:Individual
Prefix:DR
First Name:AZAR
Middle Name:
Last Name:MARAGHI
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 1:9700 RICHMOND AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-4627
Mailing Address - Country:US
Mailing Address - Phone:713-780-1133
Mailing Address - Fax:713-780-1134
Practice Address - Street 1:9700 RICHMOND AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4627
Practice Address - Country:US
Practice Address - Phone:713-780-1133
Practice Address - Fax:713-780-1134
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11533111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor