MEDICARE: DR. AMIR DAVID GHAZI DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	10221	TX

General Provider Information

NPI Number	:	1477532778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMIR DAVID GHAZI DC

Provider Business Mailing Address
First Line	:	7701 SAN FELIPE BLVD.
Second Line	:	SUITE 101
City	:	AUSTIN
State	:	TX
Zip	:	78729
Country	:	US
Telephone Number	:	512-257-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	7701 SAN FELIPE BLVD
Second Line	:	SUITE 101
City	:	AUSTIN
State	:	TX
Zip	:	78729
Country	:	US
Telephone Number	:	512-257-1500
Fax Number	:	512-590-8691

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	02/28/2011

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Directions to “ DR. AMIR DAVID GHAZI DC” Practice Location

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