Provider Demographics
NPI:1962619106
Name:MORTAJI, ASGHAR M (DC)
Entity type:Individual
Prefix:DR
First Name:ASGHAR
Middle Name:M
Last Name:MORTAJI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4002 COLGATE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77087-4610
Mailing Address - Country:US
Mailing Address - Phone:281-974-8200
Mailing Address - Fax:
Practice Address - Street 1:905 SILVERADO TRL
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-2841
Practice Address - Country:US
Practice Address - Phone:281-342-4995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4142111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic