MEDICARE: ELNAZ FAMILI

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	16072	TX

General Provider Information

NPI Number	:	1023853116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELNAZ FAMILI

Provider Business Mailing Address
First Line	:	512 EAGLE WAY
Second Line	:
City	:	MURPHY
State	:	TX
Zip	:	75094-3908
Country	:	US
Telephone Number	:	214-290-6470
Fax Number	:

Provider Business Practice Location Address
First Line	:	4601 OLD SHEPARD PL STE 405
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-5278
Country	:	US
Telephone Number	:	469-782-1888
Fax Number	:	469-782-1889

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

Provider Enumeration Date	:	06/28/2024
Last Update Date	:	08/10/2024

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Directions to “ ELNAZ FAMILI ” Practice Location

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