=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588200448
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RJ CHIRO REHAB CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/25/2019
-----------------------------------------------------
Last Update Date | 07/26/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9600 LONG POINT RD STE 224
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77055-4289
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-677-0622
-----------------------------------------------------
Fax | 713-497-0237
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9600 LONG POINT RD STE 224
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77055-4289
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-677-0622
-----------------------------------------------------
Fax | 713-497-0237
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PHYSICIAN
-----------------------------------------------------
Name | DR. REZA K JAFARI
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 713-677-0622
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------