MEDICARE: DR. MOTAHAR QAADRI D.C.

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	DC008839	PA
2	111N00000X	Chiropractor	13665	TX

General Provider Information

NPI Number	:	1831131374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOTAHAR QAADRI D.C.

Provider Business Mailing Address
First Line	:	11030 LOST STONE DR
Second Line	:
City	:	TOMBALL
State	:	TX
Zip	:	77375-0076
Country	:	US
Telephone Number	:	215-630-8712
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 MEDICAL CENTER BLVD STE 220
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-2800
Country	:	US
Telephone Number	:	832-403-3116
Fax Number	:

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

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	03/17/2018

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