Provider Demographics
NPI:1053728428
Name:COMPLETE CLINIC, LLC
Entity type:Organization
Organization Name:COMPLETE CLINIC, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAIMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIRZADI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:832-646-4348
Mailing Address - Street 1:8313 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 223
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1611
Mailing Address - Country:US
Mailing Address - Phone:281-495-5866
Mailing Address - Fax:281-741-9268
Practice Address - Street 1:8313 SOUTHWEST FWY
Practice Address - Street 2:SUITE 223
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1611
Practice Address - Country:US
Practice Address - Phone:281-495-5866
Practice Address - Fax:281-741-9268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11428111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty