Healthcare Provider Details

I. General information

NPI: 1699608422
Provider Name (Legal Business Name): ALBIR RIFATI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 FIREWHEEL DR
FLOWER MOUND TX
75028-2628
US

IV. Provider business mailing address

2600 LAKE CV
HIGHLAND VILLAGE TX
75077-6419
US

V. Phone/Fax

Practice location:
  • Phone: 972-898-8061
  • Fax:
Mailing address:
  • Phone: 972-898-8061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number16792
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: