MEDICARE: NAIFEH CHIROPRACTIC PA

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	11532	TX
2	208D00000X	General Practice Physician	K2254	TX
3	208D00000X	General Practice Physician	E2567	TX
4	225100000X	Physical Therapist	1127405	TX
5	363LF0000X	Family Nurse Practitioner	774559	TX
6	363LF0000X	Family Nurse Practitioner	809344	TX
7	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
8	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1952503054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAIFEH CHIROPRACTIC PA

Provider Business Mailing Address
First Line	:	3939 W GREEN OAKS BLVD STE 100
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76016-2792
Country	:	US
Telephone Number	:	214-650-9816
Fax Number	:	214-956-6987

Provider Business Practice Location Address
First Line	:	3939 W GREEN OAKS BLVD STE 100
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76016-2792
Country	:	US
Telephone Number	:	214-650-9816
Fax Number	:	214-956-6987

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ERIC RUDOLPH NAIFEH
Credential	:	FNP, PMHNP, DC
Telephone Number	:	214-956-6995

Provider Enumeration Date	:	06/01/2007
Last Update Date	:	11/30/2020

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Directions to “NAIFEH CHIROPRACTIC PA ” Practice Location

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