Individual
DR. FATEMEH VIDA MEYMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
905 CUSTER RD, RICHARDSON, TX 75080-5141
(972) 644-5555
Mailing address
905 CUSTER RD, RICHARDSON, TX 75080-5141
(972) 644-5555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9629
TX
Other
Enumeration date
05/19/2010
Last updated
01/25/2012
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