Provider Demographics
NPI:1053098475
Name:CBDCHIRO
Entity type:Organization
Organization Name:CBDCHIRO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHRIOPRACTOR/ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:BABUSH
Authorized Official - Middle Name:
Authorized Official - Last Name:FARIDI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:832-461-2864
Mailing Address - Street 1:2521 RICE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-3220
Mailing Address - Country:US
Mailing Address - Phone:281-556-5200
Mailing Address - Fax:713-485-0304
Practice Address - Street 1:2521 RICE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-3220
Practice Address - Country:US
Practice Address - Phone:281-556-5200
Practice Address - Fax:713-485-0304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty