Dr Nasser Samadi, DC | |
1801 Gateway Blvd Ste 214, Richardson, TX 75080-3646 | |
(469) 941-9671 | |
(214) 272-3076 |
Full Name | Dr Nasser Samadi |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 1801 Gateway Blvd Ste 214, Richardson, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790409209 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 15305 (Texas) | Primary |
Provider Name | Crown Chiropractic Clinics |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1144064528 PECOS PAC ID: 0648711531 Enrollment ID: O20240918004144 |
Mailing Address | Practice Location Address |
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Dr Nasser Samadi, DC 1801 Gateway Blvd Ste 214, Richardson, TX 75080-3646 Ph: (469) 941-9671 | Dr Nasser Samadi, DC 1801 Gateway Blvd Ste 214, Richardson, TX 75080-3646 Ph: (469) 941-9671 |
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