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NPI Code Detail

MEDICARE: DR. IRAJ VAHEDIPOUR D.C.

MEDICARE:  DR. IRAJ  VAHEDIPOUR  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
1111N00000XChiropractor10636TX

General Provider Information

NPI Number : 1295915205
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IRAJ VAHEDIPOUR D.C.
Provider Business Mailing Address
First Line : 5414 FOREST LN
Second Line :
City : DALLAS
State : TX
Zip : 75244-8008
Country : US
Telephone Number : 972-503-2273
Fax Number : 972-503-0336
Provider Business Practice Location Address
First Line : 5414 FOREST LN
Second Line :
City : DALLAS
State : TX
Zip : 75244-8008
Country : US
Telephone Number : 972-503-2273
Fax Number : 972-503-0336
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2007
Last Update Date : 03/22/2026

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Directions to “ DR. IRAJ VAHEDIPOUR D.C.” Practice Location

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