MEDICARE: SAED NASRI ABUSAAD 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	10550	TX

General Provider Information

NPI Number	:	1124216270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAED NASRI ABUSAAD D.C.

Provider Business Mailing Address
First Line	:	2031 JOHN WEST RD STE 115
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-4904
Country	:	US
Telephone Number	:	214-327-5646
Fax Number	:	214-327-5640

Provider Business Practice Location Address
First Line	:	2031 JOHN WEST RD STE 115
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-4904
Country	:	US
Telephone Number	:	214-327-5646
Fax Number	:	214-327-5640

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

Provider Enumeration Date	:	10/12/2007
Last Update Date	:	10/12/2007

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